Pre -Morbid

I've been having difficulties thinking of relevant goals for patients to achieve before discharge. To make realistic goals with complex patients (e.g. co-morbidities/ multiple previous strokes) I have been finding out as much information from previous clinicians, family and patients themselfs, about their previous level of functioning e.g. voice changes, language changes, cognitive changes ..... I have then been combining this with ICF information regarding the patients activities, participation and impairment.