Medicare supports providing rehabilitation services to help the patient achieve their prior level of function. Establishing the patient’s prior level of function is part of a comprehensive assessment. This should be thoroughly investigated and considered when discussing the patient's potential discharge. Prior level of function may include:
- Living setting, for example, home, senior apartment, assisted living as well as whether the patient lives alone and/or has assistance and whether the patient is a caregiver.
- Mobility status to include ambulation, transfers and bed mobility, assistance provided and adaptive devices used in the home and community.
- Activities of daily living including basic bathing, dressing, grooming and hygiene tasks, as well as home management responsibilities, including shopping, cooking, cleaning, yard work, home maintenance, pet or child care responsibilities, and any assistance provided.
- Leisure activities, for example, golf, exercise, walking, gardening, sewing, etc.
- Cognitive status, money management and medication management responsibilities, management of doctor appointments and/or assistance provided.
- Communication status, communication devices used, telephone use, emergency alert.
- Swallowing abilities, diet and liquid consistencies.