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“Immediately no” because 14 days of hospitalization means profound deconditioning, not because we’re being obstructionist. After ~2 weeks inpatient, the limiting factor is rarely the admitting diagnosis. It’s loss of strength, balance, endurance, and functional reserve from bedrest, illness, and delirium risk. Discharge planning isn’t just about where but also about function. If a patient can’t: • ambulate safely • transfer independently • manage ADLs/IADLs • tolerate basic exertion …then a plan
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