Understanding POLST: A Crucial Medical Document for Life-Sustaining Treatment Preferences
A POLST, or Physician Orders for Life-Sustaining Treatment, is a medical document used to communicate a patient's preferences for life-sustaining treatment in specific situations, especially towards the end of life. It is a medical order that is signed by a physician or other authorized healthcare provider and is designed to be honored by healthcare professionals.
Here are some key points about POLST and why you might consider having one:
Detailed Medical Orders
A POLST form provides specific medical orders regarding the use of life-sustaining treatments such as cardiopulmonary resuscitation (CPR), mechanical ventilation, artificial nutrition, and hydration. Unlike advance directives, which are more general and can be overridden by a physician's judgment, a POLST form contains actionable medical orders that healthcare providers must follow.
Applicability
POLST forms are typically intended for individuals with serious illnesses or those who are near the end of life. They are most commonly used by individuals with advanced cancer, terminal illnesses, or those who are frail and elderly. However, they can be used by anyone who wants to document their preferences for medical treatment.
Emergency Situations
POLST forms are especially valuable in emergency situations where healthcare providers may not have access to a patient's complete medical history or have time for extensive discussions with the patient or their family. The form provides clear guidance on the patient's treatment preferences.
Legal and Ethical Considerations
Having a POLST form in place can help ensure that your wishes are respected and followed. It can also reduce the emotional burden on family members and healthcare providers who may otherwise have to make difficult decisions during a crisis.
Complements Advance Directives
While advance directives (such as living wills and durable power of attorney for healthcare) provide important information about your healthcare preferences, a POLST form goes a step further by translating those preferences into actionable medical orders. They can be used in conjunction with advance directives to provide a more comprehensive plan for your medical care.
State-Specific
POLST forms are state-specific, and the name and format may vary from one state to another. It's essential to use the official POLST form specific to your state to ensure its legal validity.
Discuss with Your Healthcare Provider
If you are considering having a POLST, it's crucial to have a conversation with your healthcare provider or a medical professional who can help you understand your options and complete the form accurately. They can also answer any questions you may have and ensure that the document aligns with your values and preferences.
POLST is a medical order form that documents a patient's preferences for life-sustaining treatment, especially in situations where time is of the essence. It can be a valuable tool for ensuring that your medical wishes are respected during critical healthcare decisions. However, it is essential to consult with a healthcare provider to complete the form correctly and in accordance with your state's regulations.