2. What the clinician must assess

A complete assessment addresses each of the following each visit, scaled to the patient's diagnosis and stability:

• Activities of daily living — bathing, dressing, grooming, toileting, transferring, feeding, and ambulation — each at its level of assistance (independent, supervision, partial or substantial assistance, or dependent).
• Instrumental activities — meal preparation, medication management, housekeeping, shopping, finances, transportation, and telephone use.
• Mobility and transfers — bed-to-chair, toilet, and tub transfers; gait; and assistive-device use and fit.
• Functional change from baseline — decline or improvement, and the specific tasks affected.
• Durable medical equipment and assistive devices in use — presence, appropriateness, condition, and correct use.
• Caregiver availability and capability for the assistance the patient requires.
• The relationship of the functional findings to homebound status and the plan of care.