Hospital Advocacy Checklist: How do you ask, when you don’t know?

ASKING THE RIGHT QUESTIONS

What is this test/procedure for? Why is it necessary now?
Are there alternatives (e.g., therapy vs. surgery)?
What happens if we wait or do nothing?
How does this fit with the patient’s overall condition or care goals?
What is the plan for the weekend/holidays? Will care be delayed?

GET A SECOND OPINION

Have I gotten at least one other opinion for major decisions (surgery, discharge, diagnosis)?
Does this advice feel right? If not, ask again.

KNOW YOUR RIGHTS

Am I allowed to speak with a specialist (e.g., oncologist, endocrinologist)?
Has the right kind of doctor seen this patient (not just a generalist)?
Do I understand and agree with the current care plan?

WATCH FOR TIMING ISSUES

Are we waiting on a test or procedure that might not happen over the weekend?
Can this be confirmed with the scheduling department—not just assumed?
Is discharge being delayed due to something small (equipment, paperwork)? Can we solve it ourselves?

WHEN SOMETHING FEELS WRONG

Is the patient being heard when they say they’re in pain?
Has pain been properly evaluated (not dismissed as “drug-seeking”)?
Has anyone re-checked labs, imaging, or potential complications?

BE PREPARED TO SPEAK UP

Write down your concerns before rounds or updates.
Keep a list of meds, diagnoses, and allergies handy.
Document who you speak with and what they say.
Use calm but firm language to ask for what’s needed.

SPECIAL CONSIDERATIONS FOR ELDERLY/TERMINAL PATIENTS

Is this test/procedure aligned with comfort or palliative care goals?
Has anyone questioned whether the treatment plan matches the patient’s stage or wishes?
Are we doing this because it’s necessary—or just because it’s routine?

FINAL REMINDERS

Always ask: “Why?”—It’s not rude, it’s responsible.
Trust your gut. If something feels wrong, speak up again.
You don’t need to be a doctor to be an advocate. You just need to care.

 

You are not “difficult.” You are informed.
You are not “pushy.” You are protecting someone you love.

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