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The Complete Patient’s Guide to Autologous Stem Cell Transplant (ASCT)

Preparing for Post-Transplant Recovery

Last updated on: 3/24/2025

Going through ASCT without a full-time caregiver is challenging but manageable with the right preparation, support system, and mindset. While you may not have someone physically present at all times, you are not alone—lean on friends, family, and healthcare resources to navigate your journey.

  • Stick to your routines, adapt when needed, and focus on healing.
  • Celebrate progress, no matter how small.
  • Trust yourself and your ability to recover.
  • Place all checklists in a visible spot, as memory lapses can occur post-transplant.
  • Review other useful tips in the 'Post-Transplant' section.

Home & Safety Preparations

  • Ensure a clean and safe home environment before discharge.
  • Identify trusted individuals to check on you periodically and assist with essential tasks.
  • If staying near the transplant center, check the social worker and insurance resources for available support.

Managing Medical Needs

  • Create a calendar for appointments, medications, and self-care routines.
  • Obtain at least a one-month supply of prescriptions before ASCT.
  • Have essential medical supplies at hand (thermometer, sanitizing wipes, port cleaning supplies).
  • Arrange transportation for follow-up visits post-ASCT.

Nutrition & Daily Essentials

  • Stock up on groceries and meal-prep in advance.
  • Explore grocery delivery services and test them before ASCT.
  • Keep a variety of foods available, as taste changes are common post-transplant.

"I knew drinking water was important, but it was difficult. I mixed it with pasteurized fruit juice to make it more tolerable. I also had days where I only wanted toasted bread and yogurt."

Establish a Simple Daily Routine

Create a written checklist for daily activities, including:

  • Hygiene & self-care
  • Medication management
  • Exercise & mobility
  • Communication with loved ones

Maintaining Hygiene & Health

  • To prevent infections, keep up with daily hygiene routines, including mouth care.
  • Regularly check your skin for rashes, color changes, or signs of shingles.
  • Monitor for short-term memory loss—stay in touch with family or friends who can help identify changes.

Prioritizing Exercise & Mobility

  • Movement is key to preventing muscle loss and maintaining balance.
  • If walking is difficult, explore seated or bed-based exercises.
  • Consider Tai Chi or physical therapy to improve strength and prevent fractures.

Managing Visitors

  • Coordinate and limit visitors to avoid overexertion.
  • Ensure all visitors follow hygiene precautions before entering your home.

Energy Management & Rest

  • Expect fatigue and plan for frequent rest breaks.
  • Move daily, even if it’s just standing up or walking short distances.
  • Celebrate small victories in your recovery progress.