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PHYSICIAN IS ORDER FOR LIFE SUSTAINING TREATMENT (POST) & DNR DIRECTIVES PURPOSE The purpose of this guideline is to define appropriate actions in the presence of a completed Physicians Order for
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How to fill out physicians order for life

01
Start by reviewing the Physicians Order for Life document.
02
Fill in the patient's personal information, such as name, date of birth, and contact information.
03
Consult with the patient's primary care physician or healthcare provider to determine the appropriate medical orders for the patient's end-of-life care.
04
Complete the section for medical interventions, including specifying the level of intervention desired by the patient (e.g. Full Treatment, Selective Treatment, Comfort Focused).
05
Include any specific treatment instructions or limitations, such as Do Not Resuscitate (DNR) orders or preferences regarding the use of feeding tubes or ventilators.
06
Ensure that the document is signed, dated, and witnessed as required by local regulations.
07
Keep a copy of the completed Physicians Order for Life for the patient's records and distribute copies to relevant healthcare providers and family members.
08
Regularly review and update the document as necessary to reflect the patient's changing preferences or medical condition.

Who needs physicians order for life?

01
Physicians Order for Life is beneficial for individuals with serious illnesses or advanced chronic conditions who may be nearing the end of life.
02
Patients who wish to clearly communicate their treatment preferences and ensure that their wishes are followed by healthcare providers can benefit from having a Physicians Order for Life.
03
It is particularly important for patients who want to avoid unnecessary or unwanted medical interventions and treatments.
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Physicians Order for Life Sustaining Treatment (POLST) is a medical order that specifies the type of life-sustaining treatment a patient wishes to receive.
Physicians, nurse practitioners, and physician assistants are qualified to fill out a POLST form in consultation with the patient or their healthcare proxy.
To fill out a POLST form, medical professionals must discuss the patient's medical condition, prognosis, and treatment options with the patient or their healthcare proxy, and document the patient's preferences for life-sustaining treatment.
The purpose of a POLST form is to ensure that a patient's treatment preferences are known and honored across different healthcare settings.
A POLST form must include information about the patient's preferences for CPR, intubation, artificial nutrition, and other life-sustaining treatments.
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