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Policy×Procedure:P.O.L.S.T. (PHYSICIAN ORDERS FOR LIFE SUSTAINING TREATMENT)**************************************************************** Policy: 1. This policy is to define the actions HOSPITAL
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How to fill out physician orders for life

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How to fill out physician orders for life:

01
Obtain the necessary forms: Begin by obtaining the physician orders for life (POLST) forms from your healthcare provider or state's Department of Health. These forms are typically available online or can be requested in print.
02
Read the instructions carefully: Before filling out the forms, take the time to carefully read through the instructions provided. It is crucial to understand the purpose and significance of each section in order to accurately complete the form.
03
Provide personal information: The POLST form typically requires you to provide personal information such as your name, date of birth, contact information, and any relevant healthcare identification numbers.
04
Discuss treatment preferences with your healthcare provider: It is important to have an open and honest conversation with your healthcare provider about your treatment preferences. This includes discussing your goals, values, and wishes regarding medical interventions and end-of-life care.
05
Indicate your desired level of medical intervention: The POLST form typically has different sections or categories that allow you to indicate your preferences for various medical interventions. This may include decisions regarding cardiopulmonary resuscitation (CPR), intubation, medical interventions for pain and symptom management, and the use of artificial nutrition or hydration.
06
Sign the form: Once you have reviewed all the sections and accurately indicated your treatment preferences, sign the POLST form. It is crucial to ensure that all the required fields are filled out and that your signature is dated.
07
Distribute copies: Make copies of the completed and signed POLST form. Distribute these copies to your healthcare provider, designated healthcare proxy or healthcare power of attorney, and any other relevant individuals involved in your care. Be sure to keep a copy for yourself in a place that is easily accessible.
08
Review and update as needed: It is important to periodically review and update your physician orders for life. Changes in your health status or treatment preferences may require you to modify the form. Make sure to discuss any updates with your healthcare provider and distribute the updated form accordingly.

Who needs physician orders for life?

01
Individuals with serious or terminal illnesses: Physician orders for life are particularly relevant for individuals with serious or terminal illnesses who may require specific medical interventions or wish to communicate their treatment preferences.
02
Older adults with chronic conditions: Older adults with chronic conditions or advanced age may also benefit from having physician orders for life. This allows healthcare providers to understand their preferences and make informed decisions regarding medical interventions.
03
Those with specific treatment wishes: Anyone who has specific treatment wishes or desires regarding end-of-life care should consider having physician orders for life. This ensures that their preferences are known and respected by healthcare professionals, even in emergency situations.
04
Individuals with advanced directives: If you already have advanced directives, such as a living will or durable power of attorney for healthcare, it is still recommended to have physician orders for life. These forms complement each other, providing a more comprehensive plan for your healthcare as they address different aspects of medical decision-making.
Remember, physician orders for life are legally binding and serve to guide healthcare providers in honoring your treatment preferences. Consult with your healthcare provider or legal advisor for specific guidelines and requirements in your jurisdiction.
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Physician Orders for Life is a medical document that translates a patient's wishes into actionable medical orders.
Physician Orders for Life should be completed by a physician or other healthcare professional based on conversations with the patient.
Physician Orders for Life form should be filled out by a healthcare professional based on the patient's preferences and medical condition.
The purpose of Physician Orders for Life is to ensure that a patient's wishes for medical treatment are respected in all care settings.
Physician Orders for Life should include medical interventions, resuscitation preferences, and other treatment preferences specified by the patient.
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