Biological | Problem list including co-morbid conditions and disease severity Medication review Frailty syndromes (falls, bone health, incontinence) Nutritional assessment |
Psychological | Cognition/delirium assessment Mood and anxiety Fears |
Social | Basic activities of daily living Gait and balance Activity/exercise status Instrumental activities of daily living |
Environment | Home comfort, facilities and safety Use or potential use of tele-health technology, etc. Transport facilities Accessibility to local resources |
Functional | Informal support from family or friends Formal community support Eligibility for being offered care resources Social network such as visitors or daytime activities |