Prescription for Admission: A Caregiver's Guide to Navigating Hospital Stays, Medical Advocacy and Better Experiences in Heal

Dr. Monique Nugent

Are you struggling to care for your parents’ medical needs and find their hospital admissions end in more frustration than help? If you’re tired of managing hospital admissions alone. Dr. Nugent will guide you through each stage of a hospitalization so you can plan ahead and advocate for your parents to get the best care possible. Tune in to discover how to get the best possible care for your parents while navigating the hospital admission and discharge process. If you're ready to feel less overwhelmed during a hospitalization. Hit play on the most recent episode NOW.

  1. Oct 16

    Episode 73: How Hospital stay preparation, Caregiver communication & Discharge planning Can Change Your Hospital Experience

    What if you could make a hospital stay less overwhelming simply by preparing before you ever walk through the hospital doors? As a hospitalist, I’ve seen how confusing and stressful hospitalization can be for patients and their families. I started Prescription for Admission to help you understand how hospitals work and feel more prepared to advocate for yourself or someone you love. In this final episode of the podcast in its current format, I’m getting very practical and sharing three things you can do to improve your hospital experience: prepare before a hospital stay, establish clear communication with your medical team, and plan for a safe discharge. Here’s what I want you to take away from this episode: Prepare before a hospital stay. Complete a healthcare proxy and an advance directive, have the important conversations with your loved ones, and establish a reliable system for keeping an accurate, up-to-date medication list. These steps help your medical team understand your wishes and make safer decisions when you cannot speak for yourself.Make caregiver communication more effective. I teach you my AIR method: communicate Early, tie conversations to an Action, and keep your requests Reasonable. Identify the right contact person, establish expectations early, and connect follow-up conversations to meaningful updates, such as test results or a physical therapy evaluation.Make discharge planning safer and more realistic. Have an honest conversation with your case manager about what you can and cannot manage at home. Talk about equipment, medication access, home support, physical and occupational therapy, and whether home is truly the safest place for recovery. You do not have to do it all alone. I also share why preparing for hospitalization matters even when you feel healthy, why knowing who can make medical decisions is so important, and how the lessons from previous episodes can help you support yourself or a loved one through a difficult time. This episode marks the end of Prescription for Admission in its current format, but not the end of the mission. I’m excited to continue these conversations with fellow healthcare providers and work toward making hospital stays safer, better, and more comfortable for every patient. Listen to this episode and take one practical step today to help you or someone you love navigate a future hospital stay with greater confidence, clearer communication, and a safer path home. Prescription for Admission is a podcast for Gen X and Millennial family caregivers navigating the healthcare system and medical system for loved ones living with conditions like diabetes, dementia, cancer, heart disease, and cognitive decline, helping them understand hospital care, navigate hospital stays, work effectively with doctors and specialists, organize medical records, connect with a case manager, seek a second opinion, become an effective medical advocate, and improve care coordination and discharge planning. Visit my website: ⁠⁠www.drmoniquenugent.com⁠⁠ Shop & Resources: The Shop: Get the Book and other Advocacy Resources Hospital Smart Packages: Choose the perfect Hospital Smart Package for yourself Follow us on socials for daily advocacy tips: ⁠⁠Instagram/@the_happiest_hospitalist⁠⁠ ⁠⁠Facebook/DrMoniqueNugent⁠⁠ ⁠⁠LinkedIn/DrMoniqueNugentMDMPH⁠⁠ ⁠⁠YouTube/@DrMoniqueNugent⁠⁠ ⁠⁠TikTok/@drmoniquenugent⁠ Support the Show If you found this episode helpful, please subscribe and leave a 5-star review. Your support helps us reach more people who need a map through the hospital maze. Prescription for Admission is a resource to help you navigate healthcare with confidence. Remember, you are your own best advocate.

  2. Oct 15

    #27: Quick Tip - How to Advocate for Your Loved One With Clear Communication, Expectations & Feedback

    I'm sharing one of the most important lessons I've learned about helping families navigate a hospital stay: setting clear expectations for communication with the medical team. I understand why families sometimes feel they have to be confrontational to get answers. The healthcare system can be difficult to navigate, and not knowing what's happening to someone you love is stressful. But I've found that a better approach is to establish clear, reasonable expectations for communication early in the hospital stay. I call this my EAR system: Early, Actionable, and Reasonable. When you identify yourself as the primary contact, connect your communication requests to specific tests or decisions, and agree on a realistic time to follow up, you help everyone understand what needs to happen next. You also help ensure that the right person receives the information needed to make decisions and move care forward. I'm also talking about why your feedback matters. Whether you experienced excellent care or encountered problems, sharing constructive feedback with the hospital can help identify issues, improve processes, and make the healthcare system better for everyone. In this episode, you'll learn how to: Set clear communication expectations from day one. Learn how to identify yourself as the primary contact, ask for updates about specific tests or evaluations, and establish a realistic time to speak with the medical team.Use the EAR system to keep care moving forward. Understand how to make your communication expectations Early, Actionable, and Reasonable so you can get the information you need without creating unnecessary conflict.Turn your hospital experience into meaningful feedback. Discover how to share concerns with the appropriate hospital department and help bring attention to issues that could lead to lasting improvements in patient care. My biggest takeaway is this: you don't have to approach every hospital interaction as a battle. You can advocate for your loved one by communicating clearly, setting reasonable expectations, and following up when those expectations aren't met. And please remember that your feedback matters. If something went wrong, speak up constructively and ask how to make sure the issue is addressed. If something went well, sharing that matters, too. We all have a role to play in making healthcare better. Listen to this final Quick Tip episode to learn how the EAR system can help you stay informed, advocate for your loved one, and move their hospital care forward. Prescription for Admission is a podcast for Gen X and Millennial family caregivers navigating the healthcare system and medical system for loved ones living with conditions like diabetes, dementia, cancer, heart disease, and cognitive decline, helping them understand hospital care, navigate hospital stays, work effectively with doctors and specialists, organize medical records, connect with a case manager, seek a second opinion, become an effective medical advocate, and improve care coordination and discharge planning. Visit my website: ⁠⁠www.drmoniquenugent.com⁠⁠ Shop & Resources: The Shop: Get the Book and other Advocacy Resources Hospital Smart Packages: Choose the perfect Hospital Smart Package for yourself Follow us on socials for daily advocacy tips: ⁠⁠Instagram/@the_happiest_hospitalist⁠⁠ ⁠⁠Facebook/DrMoniqueNugent⁠⁠ ⁠⁠LinkedIn/DrMoniqueNugentMDMPH⁠⁠ ⁠⁠YouTube/@DrMoniqueNugent⁠⁠ ⁠⁠TikTok/@drmoniquenugent⁠ Support the Show If you found this episode helpful, please subscribe and leave a 5-star review. Your support helps us reach more people who need a map through the hospital maze. Prescription for Admission is a resource to help you navigate healthcare with confidence. Remember, you are your own best advocate.

    #27: Quick Tip - How to Advocate for Your Loved One With Clear Communication, Expectations & Feedback
  3. Oct 1

    Episode 71: How Caregiver Support Changes When Someone Is Dying in the Hospital

    Dying in the Hospital: Comfort, Dignity, and Support for Caregivers What does it mean when your loved one comes to the hospital to get better, but instead, you realize they are dying? This is a difficult question, and in this episode, I want to challenge one of the ideas we often carry about hospitals: that if someone dies there, something has gone wrong. Sometimes, despite everything we do medically, a person reaches the end of their life while they are in the hospital. That does not mean you have failed as a caregiver. It does not mean the medical team has failed. And it does not mean we are stopping care. Instead, the care plan can change. We can focus on what matters most in those final hours or days: comfort and dignity. I talk about what dying in the hospital can look like, why trying to move someone home for hospice is not always the most comfortable or safest option, and how the hospital can provide caregiver support during an incredibly difficult time. In this episode, you'll learn: How to recognize when the goal of medical care needs to change from trying to fix every problem to supporting someone through the dying process.Why comfort and dignity should guide decisions about where someone dies, especially when moving them home may cause additional pain, stress, or discomfort.How caregiver support can extend beyond medical care, including nursing support, chaplain services, visitation accommodations, volunteers, and other hospital resources. If you are caring for someone who is seriously ill, or if you are facing the possibility that your loved one may die in the hospital, I hope this episode helps you let go of some of the guilt and understand that supporting someone through a peaceful, dignified death is still care. Listen to this episode to understand what dying in the hospital can look like and how you can focus on comfort, dignity, and meaningful support for your loved one. Prescription for Admission is a podcast for Gen X and Millennial family caregivers navigating the healthcare system and medical system for loved ones living with conditions like diabetes, dementia, cancer, heart disease, and cognitive decline, helping them understand hospital care, navigate hospital stays, work effectively with doctors and specialists, organize medical records, connect with a case manager, seek a second opinion, become an effective medical advocate, and improve care coordination and discharge planning. Visit my website: ⁠⁠www.drmoniquenugent.com⁠⁠ Shop & Resources: The Shop: Get the Book and other Advocacy Resources Hospital Smart Packages: Choose the perfect Hospital Smart Package for yourself Follow us on socials for daily advocacy tips: ⁠⁠Instagram/@the_happiest_hospitalist⁠⁠ ⁠⁠Facebook/DrMoniqueNugent⁠⁠ ⁠⁠LinkedIn/DrMoniqueNugentMDMPH⁠⁠ ⁠⁠YouTube/@DrMoniqueNugent⁠⁠ ⁠⁠TikTok/@drmoniquenugent⁠ Support the Show If you found this episode helpful, please subscribe and leave a 5-star review. Your support helps us reach more people who need a map through the hospital maze. Prescription for Admission is a resource to help you navigate healthcare with confidence. Remember, you are your own best advocate.

  4. Sep 24

    Episode 69: How Anticipatory Grief Helped One Caregiver Find Meaning After 10 Years of End-of-life caregiving With Caregiver Support

    Anticipatory Grief, Caregiver Support & End-of-Life Caregiving Have you ever felt like you were grieving your loved one even though they were still here? As a hospitalist, I see this often. When someone is living with a progressive illness, caregivers can experience a series of small, repeated losses long before their loved one dies. There may be changes in function, independence, personality, relationships, routines, and even the future they imagined together. But we do not always call those experiences grief. In this episode of Prescription for Admission, I talk with grief specialist Caroline Shelby about anticipatory grief, what it looks like, and why it matters for caregivers navigating end-of-life caregiving. Caroline shares her experience caring for her mother with Alzheimer's for more than a decade. We talk about the grief that can come with watching someone change over time, taking on a new caregiving role, losing parts of your own identity, and trying to balance caregiving with your work, family, relationships, and life. I also learned a lot from our conversation about what caregiver support can actually look like. Sometimes it is not about asking someone, "What can I do?" It is about showing up, witnessing what they are going through, and permitting them to feel what they are feeling. In this episode, we talk about: How to recognize anticipatory grief and understand why you can grieve while your loved one is still alive.The many losses that can happen during caregiving, including changes in identity, relationships, independence, time, and your sense of control.How caregiver support can help, including simple ways family members, friends, and healthcare professionals can validate a caregiver's experience and show up for them. If you are caring for someone who is seriously ill or approaching the end of life, I hope this conversation gives you some language for what you may be experiencing and reminds you that you do not have to wait until someone dies to acknowledge your grief. Listen to this episode for a compassionate conversation about anticipatory grief, caregiver support, and what it really means to care for someone through the end of life. About Carolyn Shelby Caroline is a grief educator and founder of Grief Clarity Labs, drawing on more than a decade caring for her mother through Alzheimer's and a series of profound losses in 2024 that turned her personal experience into a calling. Through coaching, writing, and her recently published book, Living Beside the Leaving, she helps people understand grief not as something to move on from, but something to learn to move with. Her mission is to help people feel less alone, more understood, and better equipped to navigate one of life's most universal, yet misunderstood, experiences. Connect with Caroline via Social Media: Website: https://www.griefclaritylabs.com/ LinkedIn: https://www.linkedin.com/in/carolineshelby/ Facebook: https://www.facebook.com/profile.php?id=61580363698420 Instagram: https://www.instagram.com/griefclaritylabs/ Prescription for Admission is a podcast for Gen X and Millennial family caregivers navigating the healthcare system and medical system for loved ones living with conditions like diabetes, dementia, cancer, heart disease, and cognitive decline, helping them understand hospital care, navigate hospital stays, work effectively with doctors and specialists, organize medical records, connect with a case manager, seek a second opinion, become an effective medical advocate, and improve care coordination and discharge planning. Visit my website: ⁠⁠www.drmoniquenugent.com⁠⁠ Shop & Resources: The Shop: Get the Book and other Advocacy Resources Hospital Smart Packages: Choose the perfect Hospital Smart Package for yourself Follow us on socials for daily advocacy tips: ⁠⁠Instagram/@the_happiest_hospitalist⁠⁠ ⁠⁠Facebook/DrMoniqueNugent⁠⁠ ⁠⁠LinkedIn/DrMoniqueNugentMDMPH⁠⁠ ⁠⁠YouTube/@DrMoniqueNugent⁠⁠ ⁠⁠TikTok/@drmoniquenugent⁠ Support the Show If you found this episode helpful, please subscribe and leave a 5-star review. Your support helps us reach more people who need a map through the hospital maze. Prescription for Admission is a resource to help you navigate healthcare with confidence. Remember, you are your own best advocate.

    Episode 69:  How Anticipatory Grief Helped One Caregiver Find Meaning After 10 Years of End-of-life caregiving With Caregiver Support
  5. Sep 17

    Episode 68: The Conversations That Make Goals of Care, Setting Limits, and Death and Dying Less Overwhelming

    How would you know what your loved one would want if you suddenly had to make healthcare decisions for them? Conversations about goals of care, setting limits, and death and dying can feel uncomfortable, especially when everyone is focused on doing everything possible. But I want to help you have these conversations before you're sitting in a hospital room being asked to make an urgent decision. In this episode, I talk about why I encourage families to discuss treatment limits at home, revisit those decisions after hospital stays or health changes, and document specific wishes before a crisis happens. By listening, you'll learn: How to have more specific conversations about treatment limits so you and your loved ones have a clearer plan when difficult decisions arise.How to recognize a slower process of dying that can involve repeated hospitalizations, declining function, and treatments that may no longer change the overall outcome.How setting limits can still mean providing active, compassionate care focused on comfort, dignity, and honoring what your loved one actually wants. Listen to this episode to feel more prepared to have goals-of-care conversations and support your loved one with greater clarity when decisions about death and dying arise. Prescription for Admission is a podcast for Gen X and Millennial family caregivers navigating the healthcare system and medical system for loved ones living with conditions like diabetes, dementia, cancer, heart disease, and cognitive decline, helping them understand hospital care, navigate hospital stays, work effectively with doctors and specialists, organize medical records, connect with a case manager, seek a second opinion, become an effective medical advocate, and improve care coordination and discharge planning. Visit my website: ⁠⁠www.drmoniquenugent.com⁠⁠ Shop & Resources: The Shop: Get the Book and other Advocacy Resources Hospital Smart Packages: Choose the perfect Hospital Smart Package for yourself Follow us on socials for daily advocacy tips: ⁠⁠Instagram/@the_happiest_hospitalist⁠⁠ ⁠⁠Facebook/DrMoniqueNugent⁠⁠ ⁠⁠LinkedIn/DrMoniqueNugentMDMPH⁠⁠ ⁠⁠YouTube/@DrMoniqueNugent⁠⁠ ⁠⁠TikTok/@drmoniquenugent⁠ Support the Show If you found this episode helpful, please subscribe and leave a 5-star review. Your support helps us reach more people who need a map through the hospital maze. Prescription for Admission is a resource to help you navigate healthcare with confidence. Remember, you are your own best advocate.

  6. Sep 16

    #10 - Quick Tip: Why Hospital Status Matters for Caregiving Families

    Have you ever been told that your loved one is “admitted” to the hospital, only to find out later that they’re actually under observation? I know how confusing and frustrating that can be, especially when you’re trying to advocate for someone you love and the hospital paperwork seems to tell a different story. One of the things I want every caregiving family to understand is the difference between Observation level of care and a true inpatient admission. In this episode, I walk you through what’s really happening when your loved one is physically in a hospital bed but receives a MOON (Medicare Outpatient Observation Notice) saying they’re considered an outpatient. I’ll explain why this happens, how observation status is determined, and why the distinction between inpatient vs. outpatient matters when it comes to care, billing, and what happens next. By the end of this episode, you’ll understand: Why you may receive a MOON even when your loved one is staying in a hospital bedHow Observation level of care is determined and why it involves more than just the doctor’s decisionWhat inpatient vs. outpatient status can mean for your loved one’s care, billing, and next steps I want you to feel more confident the next time you’re faced with confusing hospital paperwork. If a MOON appears, you’ll know what it means and, more importantly, what questions to ask. Listen to this episode so you can better understand your loved one’s hospital status and feel prepared to advocate for the care and information your family needs. Prescription for Admission is a podcast for Gen X and Millennial family caregivers navigating the healthcare system and medical system for loved ones living with conditions like diabetes, dementia, cancer, heart disease, and cognitive decline, helping them understand hospital care, navigate hospital stays, work effectively with doctors and specialists, organize medical records, connect with a case manager, seek a second opinion, become an effective medical advocate, and improve care coordination and discharge planning. Visit my website: ⁠⁠www.drmoniquenugent.com⁠⁠ Shop & Resources: The Shop: Get the Book and other Advocacy Resources Hospital Smart Packages: Choose the perfect Hospital Smart Package for yourself Follow us on socials for daily advocacy tips: ⁠⁠Instagram/@the_happiest_hospitalist⁠⁠ ⁠⁠Facebook/DrMoniqueNugent⁠⁠ ⁠⁠LinkedIn/DrMoniqueNugentMDMPH⁠⁠ ⁠⁠YouTube/@DrMoniqueNugent⁠⁠ ⁠⁠TikTok/@drmoniquenugent⁠ Support the Show If you found this episode helpful, please subscribe and leave a 5-star review. Your support helps us reach more people who need a map through the hospital maze. Prescription for Admission is a resource to help you navigate healthcare with confidence. Remember, you are your own best advocate.

    #10 - Quick Tip:  Why Hospital Status Matters for Caregiving Families
  7. Sep 10

    Episode 67: How Healthcare Communication Strengthens Caregiver Advocacy & Patient-Centered Care

    What if understanding how your doctor is trained to communicate could completely change the way you approach a medical visit? As a hospitalist and caregiver advocate, I know how overwhelming healthcare conversations can feel, especially when you are trying to speak up for someone you love. But healthcare communication does not have to be a mystery. In this conversation, I sit down with Gabby Ceccolini, a healthcare communications specialist who trains medical students, clinicians, and standardized patients to understand how effective medical conversations actually work. We talk about why patient-centered care requires more than simply telling patients to "speak up." Patients and caregivers need to understand the language, timing, purpose, and structure of the conversation so they can participate with confidence. Gabby shares how standardized patients have taken the communication skills they learn in medical education and used them in their own healthcare visits. We also discuss how caregivers can use their unique knowledge of a loved one's symptoms, patterns, and daily life to become powerful advocates without taking over the conversation. In this episode, I also explore some of the language I use in the hospital, including "goals of care," "not helping," "declining," and "non-curative," and why recognizing these phrases can help you understand when your medical team is trying to have a bigger conversation about what comes next. You will learn: How to prepare for a medical visit by understanding the information your healthcare team is actually trying to gather, including the history of present illness, symptoms, and timelines.How to clarify your role as a caregiver so you can contribute important information without unintentionally taking the patient's voice away.How to recognize important healthcare language that may signal your medical team wants to discuss changing goals, treatment options, or the direction of care. If you want to feel more prepared, confident, and useful in the medical room, listen to this episode and learn how understanding healthcare communication can help you become a stronger caregiver advocate and partner in patient-centered care. About Gabby Ceccolini Gabby Ceccolini, MS is a healthcare communication specialist, educator, and leader with more than 13 years of experience advancing communication, empathy, and patient-centered care in healthcare education. As Director of the Standardized Patient & Assessment Center at Quinnipiac University, she leads a large-scale standardized patient program supporting more than 500 clinical simulation sessions annually and oversees approximately 100 standardized patients. In addition to her work in healthcare education, Gabby is the founder of Better Med Visit, an initiative focused on empowering patients with the communication skills and confidence needed to participate more effectively in their healthcare. Her professional passion lies at the intersection of healthcare communication, education, patient engagement, and organizational leadership, with a commitment to improving conversations that ultimately improve care. You can connect with her through her LinkedIn Prescription for Admission is a podcast for Gen X and Millennial family caregivers navigating the healthcare system and medical system for loved ones living with conditions like diabetes, dementia, cancer, heart disease, and cognitive decline, helping them understand hospital care, navigate hospital stays, work effectively with doctors and specialists, organize medical records, connect with a case manager, seek a second opinion, become an effective medical advocate, and improve care coordination and discharge planning. Visit my website: ⁠⁠www.drmoniquenugent.com⁠⁠ Shop & Resources: The Shop: Get the Book and other Advocacy Resources Hospital Smart Packages: Choose the perfect Hospital Smart Package for yourself Follow us on socials for daily advocacy tips: ⁠⁠Instagram/@the_happiest_hospitalist⁠⁠ ⁠⁠Facebook/DrMoniqueNugent⁠⁠ ⁠⁠LinkedIn/DrMoniqueNugentMDMPH⁠⁠ ⁠⁠YouTube/@DrMoniqueNugent⁠⁠ ⁠⁠TikTok/@drmoniquenugent⁠ Support the Show If you found this episode helpful, please subscribe and leave a 5-star review. Your support helps us reach more people who need a map through the hospital maze. Prescription for Admission is a resource to help you navigate healthcare with confidence. Remember, you are your own best advocate.

    Episode 67:  How Healthcare Communication Strengthens Caregiver Advocacy & Patient-Centered Care

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Are you struggling to care for your parents’ medical needs and find their hospital admissions end in more frustration than help? If you’re tired of managing hospital admissions alone. Dr. Nugent will guide you through each stage of a hospitalization so you can plan ahead and advocate for your parents to get the best care possible. Tune in to discover how to get the best possible care for your parents while navigating the hospital admission and discharge process. If you're ready to feel less overwhelmed during a hospitalization. Hit play on the most recent episode NOW.