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819 Original ArticleIntegrating POST into Palliative Care Guidelines: A Paradigm Shift in Advance Care Planning in Oncology Patricia A. Bomb, MD, a, b, c and Daniel Vermilion, a Rochester, New York,
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How to fill out integrating POLST into palliative?

01
Start by familiarizing yourself with the POLST form and its purpose. Understand that the POLST (Physician Orders for Life-Sustaining Treatment) form is a medical order that outlines a patient's treatment preferences during a medical crisis.
02
Identify the appropriate time to fill out the POLST form. This typically occurs during advanced care planning discussions, when patients are considering their end-of-life treatment options.
03
Engage in open and honest communication with the patient. Discuss their values, goals, and preferences for medical treatment. Ask questions about their desired level of intervention, life-sustaining treatments, and the possibility of comfort-focused care.
04
Consult the patient's healthcare team, including their primary care physician or palliative care specialist, to ensure accurate information exchange and alignment of goals.
05
Complete the POLST form with the patient by recording their preferences for various medical interventions, such as CPR, intubation, antibiotics, and artificially administered fluids and nutrition. Use clear and concise language, ensuring that the patient's wishes are accurately reflected.
06
Review the completed form with the patient and their designated healthcare decision-maker, ensuring that they understand the implications and potential outcomes of their chosen treatment preferences.
07
Sign and date the POLST form, adhering to any local regulations regarding witnessing or notarization.
08
Distribute copies of the completed form to relevant healthcare providers, including hospitals, nursing homes, and emergency medical services, to ensure continuity of care and to honor the patient's wishes.
09
Periodically reassess and update the POLST form as the patient's medical condition or treatment preferences change.
10
Ensure that the POLST form is readily accessible when needed. Make sure it is prominently displayed in the patient's medical records and provide copies to relevant individuals involved in the patient's care.

Who needs integrating POLST into palliative?

01
Patients with serious, life-limiting illnesses who desire a more comprehensive and detailed plan for their end-of-life care.
02
Individuals who value person-centered care and want their treatment preferences to be respected, even when they are unable to communicate their wishes.
03
Healthcare professionals, including primary care physicians, palliative care specialists, and emergency medical personnel, who require clear medical orders to guide their decision-making in critical situations.
04
Healthcare organizations and facilities that aim to provide patient-centered care and uphold the principles of shared decision-making and informed consent during end-of-life scenarios.
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Integrating POLST into palliative care involves incorporating a patient's Physician Orders for Life-Sustaining Treatment (POLST) form into their overall palliative care plan.
Healthcare providers, caregivers, and medical facilities are required to ensure that POLST forms are integrated into palliative care plans.
To fill out integrating POLST into palliative care, healthcare professionals should review the patient's POLST form and incorporate it into their palliative care plan, ensuring consistency and accuracy.
The purpose of integrating POLST into palliative care is to ensure that a patient's end-of-life treatment preferences are clearly documented and followed by healthcare providers.
The integration of POLST into palliative care requires reporting the patient's specific treatment preferences, including preferences for CPR, intubation, and other life-sustaining measures.
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