Prior level of function is the single most useful fact for planning discharge, and it is easiest to get on admission, when family are present. Record whether the patient walked unaided, used an aid or needed help, and whether they managed stairs and personal care. Compare it each day with what they can do now; the gap tells you who will need rehabilitation or support.
- Record pre-admission mobility and personal care on day one.
- Reassess current function daily, not just at the end of the stay.
- Involve therapists early when the gap between prior and current function is wide.
Why it matters
A late discovery that a patient cannot manage at home is a common cause of a delayed discharge.
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