Role Play – Tom Scenario A

About Tom

  • Tom is a 75 year old man who has had a stroke resulting in a mild right hemiparesis
  • He is independently mobile, but his distance is limited and he has reduced foot clearance. He is cognitively intact and as no perceptual problems. He lives with his wife who is very supportive
  • Tom has been referred to the team to optimise his levels of independence at home and in the community. Tom is very motivated and articulate and seems to have a good idea about what he would like to achieve
  • Tom’s main goal is to walk his dog around his local woods
  • Sally from the community rehab team will support Tom through the G-AP process

Stage 1: Coming Up With The Goal

Tom A1 (4.10mins)

  • Did Sally listen to Tom’s perspective about where he was at and where he wanted to get to?
  • Was Tom supported to come up with a goal that was important to him?
  • What went well in that conversation?
  • Was there anything that didn’t go so well?
  • Any other thoughts

Stage 2: Planning

Tom A2 (4.21 mins)

  • Did Sally support Tom through the planning stage? (action panning , coping planning and measuring confidence)?
  • Was the agreed action plan SMART (specific, measurable, achievable, relevant, timed)?
  • Do you think Tom is motivated to complete his plan?
  • Do you think supporting Tom to come up with his plan was time well spent?
  • Could anything have been done differently in this session?
  • Any other thoughts

Stage 4: Appraisal, Feedback And Decision Making Stage

Tom A3 (3.35 mins)

  • Did Sally support Tom to manage his disappointment after appraising how he performed with his action plan?
  • Did Sally help Tom to reframe his appraisal in a more positive light?
  • Did Sally give Tom positive feedback?
  • How did Sally’s support impact on how Tom’s confidence and how was feeling?
  • Any other thoughts….