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OHSU CPD POLST ConversationsHow to Explore Patient Wishes and Provide Medical Context for Treatment Choices at the End of Life56th Annual Primary Care Review February 10, 2025 Eriko Onishi, MD, MCR,
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How to fill out polst conversations

01
Begin by introducing the POLST form and explaining its purpose.
02
Discuss the patient's medical history and preferences regarding treatment options.
03
Review each section of the POLST form, addressing topics such as resuscitation, medical interventions, and comfort measures.
04
Encourage the patient to express their wishes and concerns clearly.
05
Document the patient's decisions accurately on the form.
06
Ensure the patient understands the implications of their choices.
07
Have the patient sign the POLST form and provide copies to relevant healthcare providers.

Who needs polst conversations?

01
Patients with serious, life-limiting illnesses.
02
Individuals undergoing significant changes in their health status.
03
People who want to ensure their treatment preferences are known and respected.
04
Healthcare providers involved in the care of patients with specific medical needs.
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POLST conversations refer to discussions about the Physician Orders for Life-Sustaining Treatment (POLST) form, which provides a set of medical orders that communicate a patient’s wishes regarding life-sustaining treatments.
Healthcare providers who engage in conversations with patients about their treatment preferences and those who fill out the POLST form are required to ensure that these conversations are documented and that the form is filed appropriately.
To fill out POLST conversations, a healthcare provider should have a detailed discussion with the patient about their treatment preferences, complete the POLST form with the patient's choices, and have the patient or their legal representative sign it.
The purpose of POLST conversations is to ensure that a patient's wishes regarding medical treatment in emergency situations are respected and documented, guiding healthcare providers in making decisions that align with the patient’s values.
The information that must be reported on POLST conversations includes the patient's preferences for resuscitation, the use of medical interventions, and any specific requests regarding life-sustaining measures, along with signatures and dates.
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