Medical | Co-morbid conditions and disease severity Medication review Nutritional status Problem list |
Mental health | Cognition Mood and anxiety Fears |
Functional capacity | Basic activities of daily living Gait and balance Activity/exercise status Instrumental activities of daily living |
Social circumstances | Informal support from family or friends Social network such as visitors or daytime activities Eligibility for being offered care resources |
Environment | Home comfort, facilities and safety Use or potential use of tele-health technology, etc. Transport facilities Accessibility to local resources |