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2011 Respecting Choices POST Paradigm Program Advance Care Planning Facilitator Course August 10, 2011, United Hospital Center — Bridgeport, WV The Physician Order for Life-Sustaining Treatment
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How to fill out the 2011 Respecting Choices POLST:

01
Start by obtaining a copy of the 2011 Respecting Choices POLST form. This form is typically available from healthcare providers, hospitals, or state health departments.
02
Begin by providing your personal information, including your name, date of birth, and contact information. This ensures the form accurately represents you and can be easily identified.
03
Next, indicate your preferences for medical interventions in various healthcare situations. The form will include checkboxes or options to select your choices regarding resuscitation, intubation, artificial nutrition, and hydration, among others. Be sure to consider your own values, beliefs, and desires when making these choices.
04
Specify any specific instructions or limitations you have regarding your medical care. This can include preferences for pain management, comfort care, or other specific treatments that you want or wish to avoid.
05
It is essential to review this form with your healthcare provider or a knowledgeable professional. They can help clarify any questions you may have and ensure you have completed the form accurately.
06
Once the form is filled out and reviewed, sign and date it. Some states may require witnesses or notarization, so be sure to follow the instructions and requirements specific to your state.
07
Keep a copy of the completed form for yourself, and provide copies to your healthcare provider, family members, and anyone else involved in your healthcare decision-making.
08
Regularly review and update your Respecting Choices POLST form, especially if your preferences or medical conditions change. It is important to ensure that your care preferences are accurately reflected in the document over time.

Who needs the 2011 Respecting Choices POLST?

01
The 2011 Respecting Choices POLST form is designed for individuals who have serious or advanced chronic illnesses and want to clearly communicate their medical care wishes in advance. This includes people who may be nearing the end of life or individuals with significant health conditions that require ongoing care management.
02
Healthcare providers, including doctors, nurses, and emergency medical personnel, can also benefit from having access to the patient's completed Respecting Choices POLST form. It helps them understand the patient's preferences for medical interventions and guides their treatment decisions accordingly.
03
Family members and caregivers of individuals with serious health conditions should also be aware of the 2011 Respecting Choices POLST form. It can provide them with clear guidance on the patient's wishes, relieving the burden of decision-making during challenging times.
Please note that specific requirements and terminology may vary by state. It is recommended to consult your state's guidelines and regulations when completing the Respecting Choices POLST form.
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Respecting Choices POLST Paradigm is a medical order form that specifies the types of medical treatments that a patient does or does not want in an emergency.
Respecting Choices POLST Paradigm should be completed by patients who want to outline their medical preferences for end-of-life care.
Respecting Choices POLST Paradigm should be filled out with the assistance of a healthcare provider, ensuring that the patient's preferences are clearly documented.
The purpose of Respecting Choices POLST Paradigm is to ensure that a patient's medical preferences are honored in emergency situations.
Respecting Choices POLST Paradigm must include information on the types of medical treatments a patient does or does not want, such as CPR, feeding tubes, and ventilators.
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