Approximately 10 to 28 days after transplant, signs that the new bone marrow or stem cells are engrafting (growing and developing) can be expected. Close monitoring will continue along with supportive care. Preparation for the return of the patient to the referring physician or center will begin.
Engraftment Process
This is the phase after the first signs of engraftment, when the patient
is recovering immune and marrow function. As the new immune system is developing,
the goal remains to support the patient's recovery both physically and emotionally.
Planning For The Transition
As the patient recovers and no longer needs intensive medical monitoring
and nursing care, preparation for discharge from the inpatient setting will
begin. Surrounding this transition there are often ambiguous feelings of eager
anticipation along with anxiety. Support systems are available for patients
and families during this time. Staff will work to develop an individualized
plan for continuation of care on an outpatient basis.
Process To Ambulatory Care Recovery
Full recovery is an ongoing process. Even when the patient is being followed
in an outpatient setting, there still will be an emphasis on increasing activity
and regaining strength along with gradual tapering of supportive therapies.
Preparing To Leave
Communication will take place between the primary care team and the physician
back home regarding ongoing needs that the patient may have.
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