As we travel with our patients on their journey to health our goal is to get them to the end and make the journey as happy and successful as possible. Sadly, we don’t always reach the end of the journey together. Patients sometimes don’t improve under our care and sometimes need to be partnered with another provider, physiotherapist, clinic, or department. We will take the time to examine the Standards of Practice and ethical guidelines we should review when dealing with more complex discharge scenarios.