Polst Vs Dnr

What is polst vs dnr?

Polst stands for Physician Orders for Life-Sustaining Treatment, while DNR stands for Do Not Resuscitate. Both polst and dnr are medical orders that provide instructions to medical personnel regarding the types of life-sustaining treatment a patient wants or does not want in the event of a medical emergency or end-of-life situation. However, there are some key differences between the two.

What are the types of polst vs dnr?

There are different types of polst and dnr orders that cater to the specific needs and preferences of individuals. While the exact types may vary depending on the state or country, some common types include:

Full Code: This type of polst or dnr order indicates that all life-sustaining measures should be provided, including cardiopulmonary resuscitation (CPR) and other interventions.
Limited Code: This type indicates that certain life-sustaining measures may be provided, but with limitations. The specific limitations are usually outlined in the order.
Comfort Measures Only (CMO): This type indicates that only measures to keep the patient comfortable and relieve pain should be provided. It focuses on quality of life rather than prolonging life.
No CPR: This type indicates that cardiopulmonary resuscitation should not be performed in the event of cardiac arrest.
Medical Interventions: Some polst orders may also include specific instructions regarding other medical interventions, such as intubation, ventilator use, or artificial nutrition and hydration.

How to complete polst vs dnr

Completing a polst or dnr order is an important step in ensuring that your medical wishes are respected. Here are the steps to complete polst or dnr:

01
Discuss with your healthcare provider: Talk to your healthcare provider about your preferences for life-sustaining treatment in different scenarios.
02
Understand the options: Familiarize yourself with the different types of polst and dnr orders and what they entail. Consider your personal beliefs and values when making your decision.
03
Document your choices: Fill out the appropriate polst or dnr form, clearly indicating your preferences and any specific instructions you have.
04
Share with your healthcare team: Give a copy of your completed polst or dnr order to your healthcare provider, hospital, and any other relevant parties involved in your care.
05
Review and update regularly: It's important to review your polst or dnr order periodically and update it as needed to reflect any changes in your medical condition or preferences.

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Questions & answers

It is recommended that POLST be copied on bright pink paper to help ensure that the document stands out and is followed. However, POLST on any color paper is valid. Copies and faxes of POLST are valid. The original, signed POLST travels with the patient.
1. Patient. The National POLST Paradigm strongly recommends, but does not require, the patient's signature, attestation, or witnessed verbal consent on POLST Forms.
A DNR order must be written by a doctor. The doctor will typically explain your options to you and your family, outlining what the DNR entails. With your consent, the doctor will create the order and enter it into your medical record. It will then be visible and applicable to any medical professionals who treat you.
A Do Not Resuscitate (DNR) order focuses only on a person's preference to not receive cardiopulmonary resuscitation if they stop breathing or their heart stops beating. The DNR does not address other medical treatments. A POST form typically covers preferences for a wider range of treatments, including CPR.
The DNR guides Emergency Medical Service (EMS) providers and can give EMS permission not to perform cardiopulmonary resuscitation (CPR), whereas a POLST might include a DNR instruction regarding CPR, but provides more instructions regarding additional medical interventions.
In summary, the minimum requirement in order for a DNR form to be valid is the valid signature and date of the patient, or of their legally recognized healthcare agent in the event that they are incapacitated or otherwise unable to express their wishes. Second, the form must be signed off by the attending physician.