MD Medical Orders for Life-Sustaining Treatment (MOLST) 2012 free printable template
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MM 1/2012-Page 1 of 2 Maryland Medical Orders for Life-Sustaining Treatment (MOST) Patient’s Last Name, First, Middle Initial Date of Birth ? Male ? Female This form includes medical orders for
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How to fill out MD Medical Orders for Life-Sustaining Treatment MOLST
How to fill out MD Medical Orders for Life-Sustaining Treatment (MOLST)
01
Obtain the MOLST form from your healthcare provider or download it from an official site.
02
Fill in the patient's personal information, including name, date of birth, and contact information.
03
Discuss the patient's medical condition and treatment preferences with a healthcare professional.
04
Select the desired treatment options for life-sustaining treatments, including CPR and other interventions.
05
Ensure that the choices reflect the patient's wishes and values.
06
Sign and date the form by both the patient (if able) and the healthcare provider.
07
Make copies of the completed MOLST form for the patient, family members, and relevant healthcare providers.
08
Keep the original MOLST form in a readily accessible location for emergencies.
Who needs MD Medical Orders for Life-Sustaining Treatment (MOLST)?
01
Patients with serious or terminal conditions who want to have a say in their medical treatment.
02
Individuals who are at risk of a medical emergency, such as those with chronic diseases or advanced age.
03
Healthcare proxies or caregivers looking to ensure that a patient's wishes are respected during critical care situations.
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People Also Ask about
What is the difference between a POLST and a DNR form?
The primary difference between and POLST and DNR is that a POLST covers a variety of end-of-life treatments. A DNR only gives instructions about CPR. With a POLST, seniors can specify: If they do or don't want CPR.
What is the difference between POLST and DNR and advance directive?
An advance directive is a direction from the patient, not a medical order. In contrast, a POLST form consists of a set of medical orders that applies to a limited population of patients and addresses a limited number of critical medical decisions.
Who is a POLST form recommended for?
POLST is for the seriously ill or frail POLST gives seriously ill or frail people more specific direction over their health care treatments compared to advance directives and more options than Do Not Resuscitate (DNR) orders.
Is a POLST form a medical order?
The Physician Orders for Life Sustaining Treatment (POLST) form is a written medical order from a physician, nurse practitioner or physician assistant that helps give people with serious illnesses more control over their own care by specifying the types of medical treatment they want to receive during serious illness.
Are DNR and POLST the same thing?
Like a DNR, a POLST form lets EMS know whether or not the patient wants CPR. DNR orders only apply when a person does not have a pulse, is not breathing and is unresponsive. However, in most medical emergencies, a person does have a pulse, is breathing or is responsive. That's where POLST is different.
What is a Physician Orders for Life-Sustaining Treatment document?
The Physician Orders for Life-Sustaining Treatment, (POLST) is a physician's order that outlines a plan of end of life care reflecting both a patient's preferences concerning care at life's end and a physician's judgment based on a medical evaluation.
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What is MD Medical Orders for Life-Sustaining Treatment (MOLST)?
MD Medical Orders for Life-Sustaining Treatment (MOLST) is a form that communicates a patient's preferences regarding medical treatment and interventions, particularly in emergency situations where the patient is unable to express their wishes.
Who is required to file MD Medical Orders for Life-Sustaining Treatment (MOLST)?
MOLST is intended for use by seriously ill patients or those with advanced chronic conditions who wish to specify their preferences for medical treatment. Healthcare providers may facilitate the completion of the form.
How to fill out MD Medical Orders for Life-Sustaining Treatment (MOLST)?
Filling out the MOLST form involves discussing treatment preferences with a healthcare provider, completing the various sections of the form to indicate specific medical orders, and having both the patient or their representative and the healthcare provider sign the document.
What is the purpose of MD Medical Orders for Life-Sustaining Treatment (MOLST)?
The purpose of MOLST is to ensure that patients receive medical care aligned with their values and wishes, especially in critical care situations. It aims to improve the quality of care and reduce unnecessary interventions.
What information must be reported on MD Medical Orders for Life-Sustaining Treatment (MOLST)?
The information required on the MOLST form includes patient identification details, specific medical treatment preferences, and the signatures of both the patient (or their legal representative) and the physician to validate the orders.
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