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NATIONAL POST PARADIGMPROGRAM DEVELOPMENT GUIDECreated by: Melissa Barman, Lawanda Hadley, Dylan Pendleton, and Alicia Garrison Spring 2015, CAPSTONE Project, OSU Masters in Healthcare Managements
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How to fill out national polst

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How to fill out a National POLST:

01
Start by obtaining a National POLST form. This can typically be done by contacting your local healthcare provider or searching online for your state's specific form.
02
Carefully read through the instructions provided on the form. Each state's form may have slight variations, so it is important to follow the specific guidelines provided.
03
Begin by filling out your personal information, such as your name, date of birth, and contact details. This will ensure that the form is properly identified and assigned to you.
04
Next, indicate your healthcare preferences. The National POLST form typically consists of multiple sections where you can specify your preferences for various treatments and interventions, such as CPR, intubation, artificial nutrition, and antibiotics. You may have the option to choose from different levels of treatment intensity, ranging from full treatment to comfort-focused care only.
05
Discuss your preferences with your healthcare provider and ensure that you fully understand the implications of your choices. It is important to have a clear understanding of the medical procedures and interventions being discussed to make informed decisions.
06
Once you have completed all the necessary sections of the form, review it carefully to ensure accuracy and completeness. Any mistakes or omissions could lead to misunderstandings or misinterpretations during a healthcare emergency.
07
Sign and date the National POLST form, indicating that you have completed it and that your healthcare preferences accurately represent your wishes.
08
Make copies of the completed form for yourself, your healthcare provider, and any other relevant parties. It is advisable to keep a copy readily available in case of emergencies or hospital visits.
09
Regularly review and update your National POLST form as your healthcare preferences may change over time. Discuss any changes with your healthcare provider to ensure your updated preferences are accurately reflected.

Who needs a National POLST:

01
Individuals with serious or advanced illnesses who may require emergency medical care and wish to have their healthcare preferences honored.
02
Those who have specific preferences regarding life-sustaining treatments and interventions, especially if they want to prevent unwanted or futile interventions.
03
Patients who may have difficulty communicating their healthcare preferences due to medical conditions or cognitive impairment.
04
Individuals who want to ensure that their end-of-life wishes are respected and that they receive appropriate care aligned with their values and beliefs.
05
Caregivers and family members who will be involved in making medical decisions on behalf of a patient during emergencies or critical medical situations.
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National POLST stands for Physician Orders for Life-Sustaining Treatment. It is a medical order form that outlines a patient's preferences for medical interventions.
Patients who are facing serious illness or frailty are encouraged to discuss and complete a National POLST form with their healthcare provider.
National POLST forms should be completed by healthcare professionals in collaboration with patients or their healthcare proxies. They require signatures from both the patient or proxy and the healthcare professional.
The purpose of the National POLST form is to ensure that a patient's wishes regarding life-sustaining treatments are documented and honored across different healthcare settings.
The National POLST form includes information about a patient's preferences for CPR, intubation, medical interventions, and artificial nutrition.
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