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PATIENT AND PROXY RATING AGREEMENTS ON ACTIVITIES OF DAILY LIVING AND THE INSTRUMENTAL ACTIVITIES OF DAILY LIVING OF ACUTELY HOSPITALIZED OLDER ADULTS

DISCUSSION This study has shown that care-related goals of communitydwelling frail older adults differ between individuals and cover domains that concern well-being just as much as they concern health and functioning. This agrees with previous research, in which participants stated that, except for maintaining health and functioning, maintaining independence and well-being were the most important goals. Participants’ goals were classified according to an existing taxonomy for goals. However, some additions to its domains were required, especially on the subject of well-being. Therefore, the domains living accommodation, activities, and health and welfare services were added, because many participants mentioned goals relating explicitly to these subjects. This study had some limitations. Because studying goals of frail older adults was not the primary aim of the studies used, nurses were not trained in goal-setting, which resulted in less attention being given to eliciting participants’ goals and case records sometimes lacking data concerning goals. In conclusion, this study has demonstrated that care-related goals of frail community-dwelling older adults are diverse and highly individual. This stresses the importance of discussing goals with patients in everyday clinical practice.