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Physician / Medical Orders for Life Sustaining Treatment

Individual Wishes Summarizing End of Life Treatment

By travels, published Jul 23, 2008
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In many hospitals, hospices, home care and nursing homes respecting a patient's dying wishes during the last weeks, days, hours or minutes for continuation or discontinuing any further care is often not known to family members, doctors or medical professionals. Oregon Health Science University (OHSU) which provides palliative care (Patients who are terminally ill, seriously ill or chronically ill offered the best delivered care and relief of suffering by medication or other means. 1 The patient's primary doctor works in partnership with patient's attending nurses, social workers and other health providers in palliative care environment, relieve pain and related symptoms of serious or terminal illness. 3) developed standardized Physician (or Medical) Orders for Life-Sustaining Treatment (POLST or MOLST): Details a dying patient's wishes for receiving or declining to receive further health care to sustain life. 2

Takeaways
  • POLST signed by the patient's physician confirming the patient desired wishes.
  • MOLST recommended for chronic sick patients and terminally ill patients.
  • MOLST form should be reviewed and updated periodically.
Did You Know?
POLST more accurately conveys end-of-life preferences and yields higher adherence by medical professionals.
Comments
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The Durable Power of Attorney for Health Care along with the documented wishes of the patient should things go terribly wrong are now required prior to admission in most hospitals. This is, I think, a good thing. Instead of playing God, medical professionals now are mandated to follow the patient's instructions. I am both and respect the patient's wishes above all.

Posted on 07/26/2008 at 9:07:29 AM

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