NZ rehabilitation crew had a meeting to decide (amongst themselves) that they should be the ones that continue to set the rehab goals for the patient.
Power and control were the key words used .
Goal setting is not a receptive or co operative process it is done by the “health provider”.
The rehab staff do not make funding decisions and what the funder will fund determines the “goal” that is set. I.E if the funder will not pay for someone to be washed (when they really need help) then the goal set will be to make the person wash themselves.If the patient does not meet the goal set by the funder/provider then often the provider will lie about the patients abilities and functioning.
If you want to empower anyone you do not dictate your goals.