Page 117 - Vibrant Living Scrapbook

One-to-One Goals
It is very good practice for staff to keep before them the goals of each resident’s one-to-ones by including those goals within the documentation. It is also necessary to keep track of whether or not the resident
is attaining his goals. For a person who is usually non-responsive, goals might include verbalization, eye contact, singing, holding hands or merely smiling. It is not enough
to simply record on a care plan that one-to- ones took place, or only that they will take place a certain number of times each week
– that is not a goal, but an approach. Goals are always for the resident and should be the focus of the care plan. Keep in mind a very high functioning person might indicate she is lonely because she is shy, chooses to stay to herself and perhaps have no family or friends but still yearns for companionship. Again, companionship may be provided by a person, including a child or young adult, or even by an animal or bird.
Although you will not find it in any regulation, the standard of practice for documenting what are traditionally called one-to-ones is to record date, length of time, what was offered by
staff, and the resident’s response or reaction. It makes sense that if we are providing this special level of interaction for someone, that we also include what we provided, how it went over and if the identified goals of the person are being attained.
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