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POST: Practitioner Order for Life sustaining Treatment
The best way to ensure your endow life wishes are followed
By: Judith S. Barnes, L.C.S.W, C.M.C., and Executive Director of Elder Life Managements
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How to fill out polst practitioner order for

How to fill out polst practitioner order for
01
To fill out a POLST (Practitioner Orders for Life-Sustaining Treatment) form, follow these steps:
02
Start by carefully reading the instructions on the form to ensure you understand the purpose and process.
03
Begin by providing personal information such as the patient's name, date of birth, and contact information.
04
Include information about the patient's emergency contacts or legal representatives.
05
Discuss the patient's medical condition and treatment preferences with their healthcare provider.
06
Based on the discussion, select the appropriate checkboxes or options regarding the patient's preferences for life-sustaining treatments.
07
Indicate whether the patient wants cardiopulmonary resuscitation (CPR) or do not resuscitate (DNR) orders.
08
Specify the patient's preferences for medical interventions such as intubation, artificial nutrition, and antibiotics.
09
If the patient has specific preferences regarding comfort measures or religious/spiritual considerations, include them on the form.
10
Have the patient or their legally authorized representative sign and date the form.
11
Ensure that healthcare providers and caregivers involved in the patient's care have access to the completed form.
12
Remember to consult with the appropriate authorities or legal advisors to ensure compliance with local regulations.
Who needs polst practitioner order for?
01
The POLST (Practitioner Orders for Life-Sustaining Treatment) form is intended for individuals with serious, life-limiting illnesses or frailty.
02
Generally, it is for patients who may be nearing the end of life or have advanced chronic conditions.
03
This document is important for individuals who want to ensure that their treatment preferences are respected and followed by healthcare providers in emergency situations.
04
Patients with specific preferences about resuscitation, medical interventions, and comfort measures benefit from having a POLST form in place.
05
It is advisable for healthcare professionals, including doctors, nurses, paramedics, and caregivers, to be aware of the patient's POLST form and follow the orders outlined in it.
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What is polst practitioner order for?
Polst practitioner order is for documenting medical orders regarding a patient's end-of-life care preferences.
Who is required to file polst practitioner order for?
Healthcare providers and patients with serious illnesses or frailty are required to file a polst practitioner order.
How to fill out polst practitioner order for?
To fill out a polst practitioner order, healthcare providers and patients can use a standardized form that includes medical orders for treatments like CPR, artificial nutrition, and comfort care.
What is the purpose of polst practitioner order for?
The purpose of polst practitioner order is to ensure that a patient's end-of-life care preferences are clearly documented and followed by healthcare providers.
What information must be reported on polst practitioner order for?
Information such as the patient's preferences for treatments, healthcare proxies, and medical orders for specific interventions must be reported on a polst practitioner order.
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