Dementia Goal Bank for Speech Therapy

Building Goals for Treatment for our Dementia patients can be difficult. You might be stumped on where to start or even what to do. But, in fact there is tons we can do as speech therapists to help our patients with Dementia. Recently Dementia has become one of my favorite populations to work with.

I hope this goal bank gives you a great place to Start!

Goal Bank

Cueing Hierarchy

Independent

Setup/cleanup assistance

Supervision or touching assistance

Partial/mod assist

Substantial/maximal assistance

Dependent

Long-Term Goals

• Pt will maintain cog/communication skills at level of (independence/setup/supervision/mod assist/max assist/dependent) with implementation of __% verbal cues and environmental modifications to decrease risk of cognitive decline.
• Pt will maintain comprehension skills at (independence/setup/supervision/mod assist/max assist/dependent) with implementation of min cues during discussion of familiar topics to decrease risk of social isolation and to facilitate communication opportunities.
• Pt will maintain current diet with pleasure feedings with SLP in order to benefit quality of life.

Short-Term Goals

• Pt will maintain safe swallow function while consuming (thin liquids/texture) by (spoon/cup/straw) with SLP only for pleasure feedings.
• Pt will continue to engage in 3-minute social interactions with staff during daily care in order to maintain communication skills.
• Pt will maintain short-term memory skills using a memory book and verbal cues from staff in 80% of opportunities.
• Pt will maintain ability to recall self-relevant pieces of information at __% accuracy with verbal/visual cues to maintain ability to recall events and leisure activities scheduled.
• Pt will maintain current reasoning skills at ___% accuracy and occasional (min/mod) cues to prevent cognitive decline and to maintain independence within this environment.
• Pt will maintain thought organizational skills at __% accuracy and occasional cues with task modifications as needed to prevent cognitive decline within this environment.
• Pt will maintain ability to respond to yes/no questions at __% accuracy with implementation of verbal cues to increase ability to engage in meaningful interactions.
•  Pt will demonstrate ability to use verbal and non-verbal communication to make decisions related to preferences during care tasks and daily routine with (independence/setup/supervision/mod assist/max assist/dependent) to facilitate highest level of independence in current environment.
• Pt will maintain ability to complete 3 conversational exchanges related to direct and observable topics using multisensory stimuli in order to reduce risk of social isolation.
• Pt will maintain current level of cognitive-communication to actively participate (following along with handout, switching between tasks, singing along, etc) in weekly activity with (independence/setup/supervision/mod assist/max assist/dependent) in order to maintain quality of life and highest level of independence with leisure activities of choice.
• Pt will participate in 3 activities of preference with set-up assistance in order to (increase/decrease) (socialization/quality of life/maintain cognitive-communication/decrease adverse behaviors).
• Pt will assist in completing life hx form in order to increase cognitive-communication with residents/staff.
• Pt will assist in completing memory board with functional life hx information in order to increase cognitive-communication and decrease adverse behaviors.

Dementia Goal Bank Download

For more Speech Therapy Goals for the Skilled Nursing Setting Follow Here to my next Post!