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Goal oriented care : a paradigma shift in complex situations

Laanditia BURand, Isabelle HEYMANS, Helene KERSTEN and Gilles COLEMONTS

Complex situations are increasing in a GP Practice. But the application of clinical practice guidelines faces specific challenges in complex or multi-morbid situa­tions. In Belgium, several primary care practices experienced the Goal Oriented care to face these situations. It’s about shifting form a problem-solving based practice (“What is the matter with the patient?”) to an objective-oriented plan of care (“What matters to the patient?”). This approach seems to be an opportunity for the practice and the system. Positive feedback, lessons learned, and points of attention can be shared.The participants will have the opportunity to discover the Goal oriented care as an approach and a methodology of work, his forces and points of attention. Place will be let to share questions and reflexion on this paradigma shift.● Teaching method 20 minutes Presentation: GOC, practice-based examples, points of attention. 20 min Work in subgroups : practice-based exercises based on cases and tools 20 min Common debate on the challenges of the approach ● Workshop schedule 3 min : welcoming 20 min : presentation 20 min : work in groups, based on clinical situations given by the participants, or by us. 17 min : debate on the GOC approachAt the end of the workshop, the participants know a bit about Goal oriented Care. Some are interested in knowing better and trying in their practice or in the professional’s education.Goal oriented care shows opportunities for a better alliance with the patient and his relatives, particularly in complex situations. This approach aims to give care oriented to what is important to each person in their life taking into account their resources and weaknesses.