1.

Clinical Features

Understanding of patient illness and medical conditions and information about the processes of medical treatment.

Knowing changes to current conditions and acute phase treatment information.

2.

Psychological Aspects

Knowing the specificity of mental, psychological, intellectual, motivation, etc.

Knowing differences between pre-illness life and lifestyle habits and current conditions, etc. and current prognosis, and ongoing prognosis.

3.

Environmental Aspects

Know the living environment-related human, material, and institutional information.

Knowing family wishes and requests, such as transfer or discharge destination, nursing circumstances, etc.

4.

Functional Impairment Features

Awareness of the disability characteristics of the physically active and motor functions, and the characteristics which are strengths.

Realizing the possibility of improvement in patient activity ability and functional recovery, etc.

5.

Issue Identification

The possibility of recovery and improvement is found, and what should be done in the current situation and the action directions (intervention points) to resolve the problem as soon as possible and as a priority are understandable. The best approach, which is the key to success, is found after practical trial and error.

6.

Goal Setting

Able to set weekly milestones and practice tasks that can be achieved immediately, after one month and at the time of discharge from the hospital. To be able to reason about the realization of goal setting with rationale based on the progress of the process.

7.

Communication

Propose and communicate to the patient’s family the path and process for the patient’s life after discharge from the hospital. Share the purpose of rehabilitation (what for), goals (what to achieve by when), and strategies (how to achieve the goals) with multiple staff members.