Which of the following is a discharge criterion for a COPD patient?

• A. Improvement in symptoms to near baseline
• B. Worsening vital signs
• C. Able to tolerate complicated inhaler regimen poorly
• D. Inability to use inhaled bronchodilators

Answer: (A)

Discharge readiness for a COPD patient hinges on clinical stability and the ability to manage therapy at home. When symptoms improve to near baseline and vital signs are stable, with no ongoing need for acute interventions, it’s appropriate to discharge with a clear plan for outpatient follow-up and self-management. This reflects that the acute exacerbation has resolved and the patient can continue routine COPD care safely outside the hospital.

Worsening vital signs indicate ongoing instability and a need for continued inpatient care. If a patient cannot tolerate or properly use inhaled bronchodilators or a complex inhaler regimen, that points to poor self-management capacity and safety concerns for discharge. In both scenarios, discharge would not be appropriate.