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Este trabajo examina el desarrollo, implementación y éxito del formulario POLST, así como su potencial adopción por parte de Pennsylvania para mejorar la atención al final de la vida.
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How to fill out PHYSICIAN ORDERS FOR LIFE-SUSTAINING TREATMENT: RECOMMENDATIONS FOR IMPLEMENTATION IN PENNSYLVANIA

01
Obtain the PHYSICIAN ORDERS FOR LIFE-SUSTAINING TREATMENT (POLST) form from a healthcare provider or online.
02
Complete patient identification information at the top of the form, including patient name, date of birth, and contact details.
03
Discuss the patient's medical conditions and values with a healthcare provider to understand treatment options.
04
Select specific orders regarding cardiopulmonary resuscitation (CPR) preferences.
05
Indicate preferences for medical interventions, including use of antibiotics, hospitalization, and transfer to intensive care, based on patient's wishes.
06
Have the physician sign and date the form to validate the orders.
07
Make multiple copies of the completed form for distribution to healthcare providers, family members, and emergency contacts.
08
Review and discuss the POLST regularly with the patient and healthcare team to ensure it aligns with current health status.

Who needs PHYSICIAN ORDERS FOR LIFE-SUSTAINING TREATMENT: RECOMMENDATIONS FOR IMPLEMENTATION IN PENNSYLVANIA?

01
Individuals with serious, life-limiting medical conditions who wish to express their treatment preferences.
02
Patients facing end-of-life decisions who want to ensure their wishes are respected in medical emergencies.
03
Families and caregivers of patients needing clarity on treatment orders when medical decisions arise.
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The Physician Orders for Life-Sustaining Treatment (POLST) form is a medical document in Pennsylvania designed to communicate a patient's end-of-life care preferences to healthcare providers. It outlines specific medical interventions a patient wishes to receive or avoid in emergency situations, ensuring that healthcare decisions align with the patient's values and desires.
The POLST form should be completed by healthcare providers and signed by a physician, nurse practitioner, or physician's assistant in collaboration with the patient or their authorized representative. It is particularly intended for patients with serious illnesses or those nearing the end of life.
To fill out the POLST form, healthcare providers should engage the patient in a detailed conversation about treatment preferences, focusing on various medical scenarios such as resuscitation and life support. After reaching an agreement, the provider completes the form, ensuring it is signed and dated by an authorized provider and the patient or their representative.
The primary purpose of the POLST form is to ensure that patients' wishes regarding life-sustaining treatment are respected and followed by healthcare providers. It serves to improve communication regarding advance care planning and to ensure that patients receive appropriate care that aligns with their values and preferences.
The POLST form must include the patient's medical information, treatment preferences regarding resuscitation, intubation, and the use of life-sustaining interventions, as well as signatures from both the healthcare provider and the patient or their authorized representative. It should be easily accessible to all healthcare providers involved in the patient’s care.
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