Polst States

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What is polst states?

Polst (Physician Orders for Life-Sustaining Treatment) states are programs designed to ensure that a patient's end-of-life wishes are honored. Polst states are a medical order that provides clear instructions regarding the types of life-sustaining treatments or interventions that a patient desires or wants to avoid.

What are the types of polst states?

There are several types of polst states, each with its own specific requirements and guidelines. The most common types include: - Full Treatment: This type indicates that the patient wants all available life-sustaining treatments to be provided. - Limited Treatment: This type specifies certain limitations or restrictions on the types or duration of life-sustaining treatments. - Comfort Measures Only: This type focuses on providing comfort and relief rather than life-sustaining treatments. - Do Not Attempt Resuscitation (DNAR): This type instructs healthcare providers not to attempt resuscitation in the event of cardiac arrest or cessation of breathing.

Full Treatment

Limited Treatment

Comfort Measures Only

Do Not Attempt Resuscitation (DNAR)

How to complete polst states

Completing polst states involves the following steps:

01

Consult with a healthcare professional: It is important to discuss your preferences and goals of care with a healthcare professional, who can guide you through the process.

02

Understand available treatment options: Familiarize yourself with the various types of polst states and their implications, so you can make informed decisions.

03

Fill out the polst form: Provide accurate and detailed information on the form, including your desired treatments or limitations.

04

Review and sign the form: Carefully review the completed form with your healthcare professional, and sign it to indicate your agreement.

05

Share the form: Make sure your polst form is shared with your healthcare providers, family members, and anyone else involved in your care.

06

Periodically review and update the form: It's important to review your polst form regularly and make updates as your preferences or health status change.

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Questions & answers

Can I print a POLST form?

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.

Can POLST be signed electronically?

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).

What states use a POLST form?

This map recognizes the POLST Programs which are active in National POLST activities. Programs which are using the National POLST Form (Arizona, Maine, New Hampshire, Iowa, Alabama) are outlined in dark pink. programs that have adapted the National POLST Form are outlined in medium pink (West Virginia, Alaska, Idaho).

Can I download a POLST form?

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.

Where can I buy a POLST form?

Visit your program website or reach out to your program contact to order POLST forms. Forms are not available to individuals since they are medical orders that should be completed by providers.

When should you fill out a POLST?

When should a POLST form be reviewed? As a clinical matter, a patient's POLST form should be reviewed periodically and updated if: The patient is transferred from one care setting or care level to another (including upon admission or at discharge). There is a substantial change in the patient's health status. or.