When admitting an older patient, ask the family one question: "Two weeks before this illness, what could they do on their own — walk, wash, dress, use the toilet?" Write the answer in the admission note. It is the only baseline against which discharge function can be judged, and without it, lost independence is recorded as the patient's normal.
- Ask the family about function two weeks before the acute illness.
- Write the pre-admission baseline in the admission note.
- Compare discharge function against it before sending the patient home.
Why it matters
A disability that nobody measured is a disability nobody rehabilitates.
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