What is polst form pdf?

A polst form pdf, also known as a Physician Orders for Life-Sustaining Treatment form, is a legal document that outlines an individual's preferences for medical treatment in specific situations. It is designed to ensure that a patient's wishes regarding medical interventions are honored, particularly in cases where the patient may not be able to communicate their preferences. This form is often used for individuals who have advanced illnesses or who are approaching the end of their life.

What are the types of polst form pdf?

There are different types of polst form pdf, each tailored to meet the specific needs and preferences of individuals. The most common types include:

Full Treatment: This type of polst form pdf indicates that the patient desires to receive all available medical treatments to prolong life, including resuscitation, mechanical ventilation, and hospitalization. This option is usually chosen by those who wish to pursue all possible life-sustaining treatments.
Selective Treatment: This type of polst form pdf allows individuals to specify which medical interventions they would like to receive and which they would like to decline. This option provides a more personalized approach to medical care, enabling patients to make decisions based on their values and goals of care.
Comfort-Focused Treatment: This type of polst form pdf prioritizes the patient's comfort and quality of life over aggressive medical interventions. It often includes measures such as pain management, comfort measures, and emotional support. This option is typically preferred by individuals who prioritize comfort and symptom management over prolonged life.

How to complete polst form pdf

Completing a polst form pdf can be done in a few simple steps:

01
Start by obtaining the correct polst form pdf. These forms are typically available through healthcare providers or online resources like pdfFiller.
02
Review the instructions on the form carefully to ensure that you understand the purpose and requirements of the document.
03
Provide accurate and detailed information about the patient, including their name, date of birth, and contact information.
04
Consult with the patient's healthcare provider to discuss their goals of care and treatment preferences. Ensure that all decisions align with the patient's wishes.
05
Complete the polst form pdf by indicating the desired type of treatment, either full treatment, selective treatment, or comfort-focused treatment.
06
Sign and date the form in the presence of witnesses, if required by your state's laws.
07
Make copies of the completed form for the patient, their healthcare provider, and any other individuals involved in their care.
08
Keep the original polst form pdf in a safe and accessible place, and provide copies to relevant parties as needed.
09
Remember to regularly review and update the polst form pdf as the patient's medical condition or treatment preferences may change.

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Questions & answers

Copies and faxes of POLST are valid. The original, signed POLST travels with the patient. Whenever possible, ensure the Advance Directive (if one exists) and POLST form are consistent with each other.
Generally, yes, so long as it is valid (with required signatures and dates). Check with your state contact to confirm (look up at www.polst.org/map. click on your state).
Physician Orders for Life Sustaining Treatment (POLST) is a medical order that helps give people with serious illness more control over their care during a medical emergency. POLST can help make sure you get the care you want, and also protect you from getting medical treatments you DO NOT want. •
The Physician Orders for Life Sustaining Treatment (POLST) form is a written medical order from a physician, nurse practitioner or physician assistant that helps give people with serious illnesses more control over their own care by specifying the types of medical treatment they want to receive during serious illness.
Download The POLST Form Translations of the POLST form are available to assist healthcare providers in explaining the form to patients and loved ones. However, an English version of the POLST form must be completed and signed so that emergency medical personnel and healthcare providers can follow the orders.
A POLST form is a medical order that should be completed by your provider. Patients should not be provided a POLST form to complete on their own. A POLST form should never be completed without a conversation with the patient, or his/her surrogate, about diagnosis, prognosis, treatment options and goals of care.