https://www.ahrq.gov/sites/default/files/publications/files/goinghomeguide.pdf

When you leave the hospital, there are a lot of things you need to
do to take care of yourself. You need to see your doctor, take your
medicines, exercise, eat healthy foods, and know whom to call with
questions or problems. This practical fill-in-the blank printable guide helps you keep track of all the things you need to do to coming home with confiedence after having a procedure or a stay at transitional care. 

■ Talk with your medical staff about each of the items that are listed in the guide.

■ Complete the guide. It will help you to take care of yourself when you go home.

■ Share the guide with your family members and others. The guide will help them know how to help take care of you.

■ Bring the guide to all of your medical appointments so the doctor knows what you have been doing to care for yourself since your procedure.

This easy to use guide is adapted from Project Re-Engineered Discharge (RED), which was funded by AHRQ and conducted by Brian Jack, M.D., and colleagues at Boston University Medical Center.

https://www.ahrq.gov/sites/default/files/publications/files/goinghomeguide.pdf