GDS ST GOALS
Stage 3
1. Patient will demonstrate the use of calendars, schedules, and activity calendars
with 90% accuracy given minimal verbal and visual cues to improve orientation
and increase participation in daily activities.
2. Patient will verbally request clarification of directions, questions, or conversations
in 9/10 opportunities to enhance conversation with communication partners.
3. When given verbal directions, patient will repeat sentence or sentences in 8/10
opportunities to enhance comprehension of complex tasks.
4. Patient will demonstrate the use of printed materials (labels, directions, signs) to
complete activities of daily living with 90% accuracy given min cues, to increase
independence in current living environment.
5. Patient will answer open ended questions with 90% accuracy given min cues, in
order to express wants and needs.
6. Patient will demonstrate the use of circumlocution during conversational tasks in
8/10 opportunities given min cues, to enhance communication.
7. Patient will complete financial and medication management tasks with 90%
accuracy given min cues to enhance independence in environment.
8. Patient will use verbal problem solving with 90% accuracy given min cues to
improve safety and awareness in environment.
9. Patient will sequence ADL’s with 90% accuracy given min cues to increase
independence and safety.
10. Patient will demonstrate use of appropriate conversational skills with 90%
accuracy given min cues to increase patient’s involvement in social situations.
Skills to include: conversational turn-taking, participate in social routines, and
verbal and non-verbal communication.
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GDS ST GOALS
Stage 4
1. Patient will sequence pictures or printed materials with 90% accuracy given min
cues to enhance safety and independence.
2. Patient will demonstrate ability to navigate living environment with 80% accuracy
given minimal verbal and visual cues.
3. Patient will use daily schedule with 90% accuracy given moderate cues to aid in
patient’s independence.
4. Patient will follow multi-step printed or verbal directions with 80% accuracy
given min cues to increase independence in activities of daily living.
5. Patient will initiate conversation in 8/10 opportunities to enhance social
conversation.
6. Patient will demonstrate orientation to person, place and date using verbal and
visual aids with 80% accuracy given mod cues to aid in decreased confusion.
7. Patient will create/use a memory book/aid to participate in conversational tasks in
8/10 opportunities to aid in memory recall.
8. Patient will visual scan printed materials in functional tasks with 80% accuracy
given min cues to increase functional independence in current environment.
9. Patient will request repetition of question/statement in 8/10 opportunities given
min cues to increase social interaction and socialization.
10. Patient will complete verbal problem solving tasks with 80% accuracy given min
cues to maximize safety in living environment.
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GDS ST GOALS
Stage 5
1. Patient will demonstrate orientation to person, place and date using verbal and
visual aids with 80% accuracy given mod cues to aid in decreased confusion.
2. Patient will increase attention to conversational task or activity to > 10 min in
8/10 opportunities given min verbal and visual cues.
3. Patient will answer yes/no questions with 90% accuracy to increase ability to
express wants and needs.
4. Patient will use memory/book aid to participate in conversation tasks with
familiar and unfamiliar partners in 8/10 opportunities to increase recall of familiar
events and people.
5. Patient will follow 1 and 2 step directions with 90% accuracy given min/mod
verbal and visual cues to increase independence in functional tasks.
6. Patient will sequence ADL’s with 80% accuracy given mod cues to increase
independence.
7. Patient will demonstrate no unsafe behaviors in 8/10 opportunities given verbal
cues to increase safety in living environment.
8. Patient will answer open ended questions with 80% accuracy given min cues to
communicate wants and needs.
9. Patient will participate in group activities with appropriate stage partner in 8/10
opportunities to increase patient’s socialization.
10. Patient will perform categorization and organization tasks with 90% accuracy
given mod cues to improve problem solving.
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GDS ST GOALS
Stage 6
1. Patient will sequence steps of daily activities during functional tasks (bathing,
eating, dressing) with 90% accuracy given mod cues to enhance in independence.
2. Patient will increase attention to conversational task or activity to > 5 min in 8/10
opportunities given mod verbal and visual cues.
3. Patient will use simple words/phrases and gestures to communicate in 8/10
opportunities given mod verbal and visual cues to communicate wants and needs.
4. Patient will answer yes/no questions with 80% accuracy given mod cues to
communicate wants and needs.
5. Patient will make choices from a field of two with 90% accuracy given mod cues
to enhance patient’s ability to express wants and needs.
6. Patient will increase PO intake to >50% during meal times given min cues to
maximize nutrition and hydration. Cues include: verbal, visual and tactile cues,
environmental modification, and/or staff education
7. Patient will initiate and attend to self feeding with 80% accuracy given mod cues
to increase independence and nutrition/hydration.
8. Patient will demonstrate no unsafe behaviors in 8/10 opportunities given mod
cues. Cues include: redirection, patient and staff education, written cues
9. Patient will demonstrate decreased anxiety or agitation in 8/10 opportunities
following caregivers/staff use of redirections, positive gestures, and calm tone of
voice.
10. Patient will participate in safe swallow strategies with 80% accuracy given mod
cues to decrease risk of aspiration/penetration.
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GDS ST GOALS
Stage 7
1. Patient will increase PO intake to >50% during meal times given mod cues to
increase nutrition and hydration. Cues include: verbal, visual and tactile cues,
redirection, environmental modification, and/or staff education.
2. Patient will participate in safe swallow tasks with 90% accuracy given max cues
to decrease risk of aspiration/penetration and increase hydration and nutrition.
3. Patient will make choices from a field of two with 90% accuracy given mod cues
to enhance patient ability to express wants and needs.
4. Education provided for caregivers to reduce distractions during functional tasks
with 80% accuracy to increase task maintenance.
5. Patient will demonstrate decreased anxiety or agitation in 7/10 opportunities
following caregivers/staff use of redirections, positive gestures, and calm tone of
voice.
6. Patient will decrease initiation of swallow to a timely manner in 7/10
opportunities given mod verbal, visual, and tactile cues.
7. Patient will accept presentation of food and drink with 80% accuracy given max
verbal, visual, and tactile cues.
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