Prior Level Of Function Questions

Question 1

Question 2

Prior level of function questions written out

Answer 2

Prior Level of Function

1.	Living Situation
•	Where do you live? (Home vs SNF?)
•	Do you live with anyone?
•	If they live with someone, are they able to provide 24/7 assistance?
•	If they live alone, do they have friends or family that can provide assistance if needed?
2.	Activities of Daily Living (ADLs)
•	Are you independent with ADLs such as bathing, grooming, and dressing?
•	If ambulatory, do you use a cane or a walker?
•	Even if they don’t walk with a cane or a walker, do they have one at home if needed?
3.	Home Environment
•	Do they live in an apartment vs single-family home?
•	Is their home all on one level?
•	Do they have steps to get inside?
•	If so, are there handrails?
•	Do they have a walk-in shower or a tub shower?
•	Do they have anything to sit on in the shower?
4.	Other Factors
•	Are they able to manage their own medications?
•	Do they drive?
•	Do they work?