Factors Impacting discharge: Higher level care facility ,critical discharge condition, medication community resources, impaired mobility, impaired ability to perform ADLs,Unstable vital signs, Labs not within limits, impaired gas exchange, inability to maintain adequate nutrition. Patient wants to go home but needs rehab ,waiting on acceptance to Aberdeen Health and Rehab, Inability to make a decision due to delirium. Inability to understand discharge teachings due to altered mental status.