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Health Care Decision Making Worksheet Instructions Use this worksheet either to indicate current treatment preferences (which will be reflected in Maryland MOST orders) or to clarify wishes for future

How to fill out maryland molst worksheet

How to fill out the Maryland MOLST worksheet:

1. Begin by reviewing the instructions provided with the worksheet. This will help you understand the purpose and guidelines for completing the form.
2. Fill in the patient's personal information accurately, including their full name, date of birth, and contact information. This ensures that the form is specific to the individual.
3. Indicate the patient's medical condition and their current state of health. This helps healthcare providers understand the context in which the MOLST form is being completed.
4. Discuss the patient's treatment preferences with their healthcare provider. This may involve decisions regarding resuscitation, intubation, artificial nutrition, and other medical interventions.
5. Record the patient's treatment preferences on the worksheet. This is typically done by checking boxes or marking appropriate options that align with the patient's wishes.
6. Review the form with the patient and their designated healthcare agent if they have one. Ensure that everyone involved understands the decisions made and the implications of those choices.
7. Sign and date the MOLST worksheet. This confirms that the form accurately represents the patient's wishes at the time of completion.
8. Distribute copies of the completed MOLST form to relevant healthcare providers, such as hospitals, nursing homes, and emergency medical services. This helps ensure that the patient's preferences are known and honored across different healthcare settings.

Who needs the Maryland MOLST worksheet:

1. Patients who have serious or advanced chronic illness and may be approaching the end of life.
2. Individuals who wish to document their treatment preferences and have them honored by healthcare providers.
3. Those who want to ensure that their healthcare decisions are respected even if they become incapable of communicating their wishes in the future.

Please note that it is always advisable to consult with a healthcare professional or legal advisor when completing important medical documents like the Maryland MOLST worksheet.

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What is maryland molst worksheet?

Maryland MOLST worksheet is a medical order form that documents a patient's preferences for life-sustaining treatments.

Who is required to file maryland molst worksheet?

Patients with serious illnesses or conditions who want to make decisions about their medical treatments.

How to fill out maryland molst worksheet?

Maryland MOLST worksheet should be completed by a patient in consultation with their healthcare provider.

What is the purpose of maryland molst worksheet?

The purpose of Maryland MOLST worksheet is to ensure that a patient's preferences for medical treatments are followed.

What information must be reported on maryland molst worksheet?

The Maryland MOLST worksheet must include information about the patient's preferences for resuscitation, intubation, antibiotics, and other life-sustaining treatments.