
HI Provider Orders for Life-Sustaining Treatment (POLST) 2014-2025 free printable template
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Still many clinicians haven't heard about the concept of physician orders for life-sustaining treatment or pulsed at least that's what we call it in New Jersey other states might call it most some states call it post or most, but they all basically mean the same thing what were trying to do is get patients to play an active role in the decision-making of their future care you know Medicare spends about 50 billion dollars each year on the last two months of life we know that it's a costly time and unfortunately many patients suffer at the end of life intensive care unit unnecessary treatments mechanical ventilation feeding tubes all things that people might not want if given the option, but unfortunately we don't let our wishes be known in advanced, so these programs have arisen in most states and actually in New Jersey it's a law this is an actionable order called a pulsed, and it's written on a form called a POST form this is a funny colored green piece of paper that patients are supposed to leave hanging on their refrigerator with just four or five sections about their medical directives I do or don't want to be resuscitated in the case my heart where to stop or in case I stop breathing I do or don't want artificial feeding or nutrition the kind of care I want I do or do not want to be transported to a hospital this kind of things and the studies have shown that simply by making your wishes known even as in as simple as a four or five item form really changes the outcome in the world of health care it is obeys patients wishes, and it's better for everyone involved so one of the most common questions is what is the difference between a pulsed form and an advance directive and there are some subtle differences and some gray zones one of the differences is an advance directive is something we could do when were young and healthy we go to an attorney we have a will drawn up maybe we get some trusts, or you know get our estate in order, and we come up with an advance directive this can be a 15 or 20 page legal document full of legalese and language that many clinicians nurses healthcare providers might not understand or have the time to read in the case of an emergency now that document stays with you forever until you change it, and it is states your wishes but what we found in the on the front lines of medicine is that if someone comes into an emergency room they don't have their advanced directives with them and even if they do how is a clinician in a matter of minutes going to read a 15-page legal document to decide what to do and what not to do so unlike an advanced directive a pulsed is really meant to accompany the advanced directive hopefully they both say complementary messages but the pulse well you look at it and in a matter of seconds you could tell whether the patient wants resuscitation measures feeding artificial ventilation this kind of things and they really are meant to go hand in hand so many states have adopted policies like...
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