Coming home

The first week home after hospital

What the first week back home tends to bring, and how to make it safer and calmer.

M. Thurairaj, MAHPC-registered physiotherapist review

Coming home can feel harder than expected

The hospital had staff, rails, and routines. Home has none of that ready, and the first week can feel overwhelming.

The person is often weaker than the family expected. Simple things like getting to the toilet become the day’s biggest tasks.

Knowing this in advance helps. It is normal, and it settles with a little support.

Preparing the home

Before discharge, clear the paths the person will use most. Move loose mats and cables that could trip.

Set up a safe place to sit and to sleep, within easy reach of the bathroom. Keep water, medicines, and a phone close by.

Ask the hospital what help the person will need to move, and whether any aid such as a walking frame is advised.

What to watch for

Some tiredness and stiffness is expected in the first week. Rest and gentle movement usually help.

Call the doctor for new weakness, high fever, chest pain, a wound that looks infected, or a fall with injury. These are not for a home plan to manage alone.

When in doubt, it is always right to check rather than wait.

How home physiotherapy helps early

Gentle movement in the first week helps prevent stiffness, weakness, and pressure sores. It also rebuilds confidence.

A physiotherapist can assess at home once the person is stable, set safe first goals, and show the family how to help with standing and moving.

Starting well in the first week often makes the whole recovery smoother.

Go gently on yourself too. The first week is tiring for the carer as much as the patient, and rest is not a luxury but part of keeping everyone safe.

Keep the routine simple at first: a few safe movements, regular meals, medicines on time, and short spells of rest. A calm week beats a busy one.

If anything feels beyond you, that is normal, and it is exactly what to ask about. A little guidance early saves a great deal of worry later.

Clinical review: M. Thurairaj, MAHPC(PT)06324. Physiotherapist, BSc Physiotherapy, 14+ years' experience. · Updated: September 2026

Prepare for coming home

If a family member is coming home from hospital this week and you want the settling in to be safe, tell us their situation and we will explain how early physiotherapy can help.

Common questions

How soon after discharge can physiotherapy start?

For many people, gentle movement can begin within the first days home, once they are medically stable. Early, safe activity helps prevent stiffness and weakness. We assess first and set goals that match the person's condition, and we suggest waiting or a doctor's review when that is safer.

My parent is much weaker at home than in hospital. Is that normal?

Yes, this is common in the first week. Hospital had constant support and the journey home is tiring. With rest, safe movement, and a little help, most people settle. If weakness is sudden or severe, or comes with other warning signs, contact the doctor.

What should we have ready before they come home?

Clear the main walking paths, remove loose mats, and set up a safe chair and bed near the bathroom. Keep water, medicines, and a phone within reach. Ask the hospital whether a walking frame or other aid is advised, and how much help is needed to move.

Ask about the first week

If a family member is coming home from hospital this week and you want the settling in to be safe, tell us their situation and we will explain how early physiotherapy can help.