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How to the doctors know I am ready to be discharged?

While every doctor's practice is different there are some usual goals that have to be obtained before discharge.  You have to be able to eat and drink enough to sustain good health.  Meaning, you have to be able to stay hydrated, eat and digest food.  This might seem simple and silly, but if you are having ample diarrhea this will lead to dehydration.  It will lead to malnutrition because one cannot digest nutrients when you have severe diarrhea.  After a bowel surgery, it is important to know that what goes in, comes out.  After pancreatitis we have to know that you are going to be able to eat without pain.  If you are not strong enough to get food on your own, and have no help at home, usually you are referred for an acute inpatient rehabilitation stay or maybe even skilled nursing facility.
 
Pain must be controlled.  You must be back to what your baseline health was or very close.  If he were not, usually you do not go back home you might qualify for inpatient rehabilitation.
 
You going to have to be able to walk upstairs, prepare meals and do activities of daily life.  This is all assessed with the physical and occupational therapist.

Usually, we require you to be fever free for 24 hours so that we know you are on the way to recovery.  Urine maintaining her blood pressure at a suitable level and her heart rate is controlled.  Your breathing on room air or back to your baseline home oxygen level.
 
Your blood counts should all be stable.  Not necessarily normal, but stable, unchanging.  That means that your kidney function is not changing over time.  Your red blood cell counts are not dropping to dangerous levels.  You are able to maintain your electrolytes without IV supplementation.
 
You will receive discharge paperwork.  Your hospital doctor will prepare a discharge summary to go back to your family doctor.  This will tell your family doctor everything that happened, the tests that were done, the results of the blood work, the action taken and what to follow-up on.  

Appointments will be made for follow-up with your family doctor within 1-2 weeks and any specialists that need to see you as an outpatient to follow up on your care.

 
Your nurse will go through all of the discharge medication with you and have a list of it so you may bring it home with you.  Any new medications will be sent to your pharmacy.

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