Assessment of functional status in hospitalized elders provides essent
ial information that can assist maintenance or restoration of self-car
e. Nurses in acute care settings are in a pivotal position to assess f
unction and target interventions to prevent loss of function and maint
ain an individual's self-care ability. This article discusses critical
issues in the functional assessment of hospitalized elders and provid
es a clinical practice protocol that includes nursing care strategies
to prevent functional decline during hospitalization and assist with d
ischarge planning.