Dr. Leilani Sharpe
Discharge Planning Conversations: "Where to?"
Not every patient has a home to return to after hospitalization. Others may have a home, but are not yet ready for standard outpatient...
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Dr. Leilani Sharpe
Jan 3, 20222 min read
Discharge Planning Conversations: Insurance Needs to Be Carefully Considered
The reality in the United States is that very few people can afford to pay for their medical care directly. Most people prefer to access...
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Dr. Leilani Sharpe
Dec 27, 20212 min read
Psychiatric Hospitalization: Discharge Planning Starts on Day One
On one hand, the inpatient team has staff available that are professionals at coordinating care. In addition, the various expertise availab
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Dr. Leilani Sharpe
Dec 22, 20211 min read
Psychiatric Hospitalization: "The Milieu"
Almost all psychiatric hospitals have a large, open, lounge area that is shared by all patients. But instead of this space being called som
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Dr. Leilani Sharpe
Dec 21, 20211 min read
Psychiatric Hospitalization: Medication Tolerance
Psychiatric medications may be started or adjusted during inpatient hospitalization, if appropriate. But since the most common goal of...
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Dr. Leilani Sharpe
Dec 17, 20212 min read
Psychiatric Hospitalization: Stabilization, Not Complete Recovery
Some of the uncertainty is understandable. Every patient is different and what a person might need changes. Some patients may be admitted
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Dr. Leilani Sharpe
Dec 15, 20212 min read
Psychiatric Hospitalization: Think About It As Daily Appointments
Hopefully, one day I'll be about to write more about why outpatient psychiatric appointments are structured the way they are. It's a...
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Dr. Leilani Sharpe
Dec 14, 20212 min read
Psychiatric Hospitalization: Team Rounding vs Individual Work
Historically, morning rounds were completed with the entire team present. The mindset was that rounds would take as long as they needed...
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Dr. Leilani Sharpe
Dec 13, 20212 min read
Psychiatric Hospitalization: Getting Settled In
Due to the demand for psychiatric hospital beds, once an ER or CSU team is notified that an appropriate bed is available and ready for a...
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Dr. Leilani Sharpe
Dec 10, 20211 min read
Psychiatric Hospitalization: Average is an Idea, Not a Person
Over the next several posts I hope to cover some common experiences during an inpatient psychiatric admission. However, every person is...
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Dr. Leilani Sharpe
Dec 9, 20212 min read
Psychiatric Hospitalization: "Freestanding Psychiatric Hospital"
When the decision has been made to move forward with psychiatric admission, a patient's care team may also need to determine which...
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Dr. Leilani Sharpe
Dec 7, 20212 min read
Psychiatric Hospitalization: Legal Status
Previously, I wrote about how someone's patterns of thinking can affect their behavior. When it comes to psychiatric hospitalization, consi
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Dr. Leilani Sharpe
Dec 6, 20212 min read
Psychiatric Hospitalization: "No Appropriate Lower Level of Care"
When discussing whether psychiatric admission is needed, one of the most common questions I'm asked in an ER, PES, or CSU is: "Why does it
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Dr. Leilani Sharpe
Dec 3, 20212 min read
Psychiatric Hospitalization: Beds Are Limited
Sometimes patients are surprised that they will be transferred from an ER setting to a crisis stabilization unit or psychiatric ER
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Dr. Leilani Sharpe
Dec 2, 20211 min read
New Series: Psychiatric Hospitalization
One major goal of this blog is to help demystify the types of psychiatric care that are available. Psychiatry is a medical specialty, but e
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