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ENDOCRINE CARET he Posts Form Alissa Goodwin, MS4 Rural Scholar John Day, OR Grant Countdown DAY, BLUE MOUNTAIN HOSPITALENDOF LIFE PATIENT CARE AFIS a 93-year-old female who was brought to the ED

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How to Fill Out Form POLST Form:

01

Begin by obtaining the POLST form from a healthcare provider or by downloading it from a reliable source.

02

Start with the patient's personal information section, including their full name, date of birth, and contact details.

03

Indicate the patient's preferences regarding resuscitation and cardiopulmonary resuscitation (CPR) by checking the appropriate boxes. This section determines whether the patient wants to receive aggressive lifesaving measures or prefers a do-not-resuscitate (DNR) order.

04

Specify the patient's desired level of medical intervention for various treatment options, such as intubation, use of ventilators, or artificial nutrition.

05

Discuss the form with the patient's healthcare provider, if necessary, to ensure their medical wishes are accurately reflected.

06

Sign and date the form, and have it witnessed by two individuals who are not related to the patient.

07

Distribute copies of the completed form to appropriate individuals, such as the patient's healthcare provider, family members, and caregivers, so they are aware of the patient's medical preferences.

Who Needs Form POLST Form:

01

The POLST form is beneficial for individuals with serious or chronic illnesses who may have specific medical preferences regarding end-of-life care.

02

Patients who have made decisions regarding resuscitation, life-sustaining treatments, and other medical interventions may use the POLST form to ensure their wishes are honored in various healthcare settings.

03

It is particularly crucial for patients nearing the end of their lives, those with advanced illnesses, or those residing in long-term care facilities to have a completed POLST form.

04

Healthcare providers, emergency medical personnel, and other healthcare professionals rely on the POLST form to guide their decision-making and provide appropriate care in accordance with the patient's wishes.

05

Family members, caregivers, and loved ones can benefit from the POLST form as it provides clear instructions regarding the patient's medical preferences, reducing uncertainty and promoting peace of mind.

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What is form polst form?

Form POLST stands for Physician Orders for Life-Sustaining Treatment. It is a medical order that outlines a patient's preferences regarding life-sustaining treatments.

Who is required to file form polst form?

Form POLST is typically completed by a physician or healthcare provider in consultation with the patient or their legal surrogate.

How to fill out form polst form?

Form POLST is filled out by providing details on the patient's wishes regarding CPR, intubation, antibiotics, and other life-sustaining treatments. It is important to review and update the form regularly.

What is the purpose of form polst form?

The purpose of form POLST is to ensure that a patient's wishes regarding life-sustaining treatments are honored, especially in emergency medical situations.

What information must be reported on form polst form?

Form POLST must include details on the patient's preferences regarding CPR, intubation, antibiotics, and other specific life-sustaining treatments.

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