Variations in Physician Orders for Life-Sustaining Treatment Program across the Nation: Environmental Scan

Journal of Palliative Medicine
Aluem TarkPatricia W Stone

Abstract

Background: Physician Orders for Life-Sustaining Treatment (POLST) is an advance care planning tool that is designed to document end-of-life (EoL) care wishes of those living with limited life expectancies. Although positive impacts of POLST program has been studied, variations in state-specific POLST programs across the nation remain unknown. Objective: Identify state variations in POLST forms and determine if variations are associated with program maturity status. Design: Environmental scan. Measurements: Using the national POLST website, state-specific POLST program characteristics were examined. With available sample POLST forms, EoL care options were abstracted. Results: Of all 51 states (50 United States states and Washington, D.C examined), the majority (n = 48, 98%) were actively participating in POLST; 3 states (5.9%) had Mature status, 19 states and District of Columbia (39.2%) were Endorsed, 24 states were in the developing phase (47.1%), and 4 states (7.8%) were nonconforming. Forty-five states (88.2%) had forms available for review. Antibiotic and intravenous fluid options were identified in 32 (71.1%), and 33 (73.3%) POLST forms, respectively. Hospital transfer and use of oxygen were mentioned in all form...Continue Reading

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Citations

Sep 17, 2020·Journal of the American Geriatrics Society·Robert Y LeeErin K Kross
Oct 2, 2020·Journal of the American College of Emergency Physicians Open·Eileen F Baker, Catherine A Marco
Sep 12, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Amber L LinElizabeth Eckstrom
Oct 29, 2020·The American Journal of Hospice & Palliative Care·Caroline J FuPatricia W Stone
Apr 8, 2021·Journal of the American Geriatrics Society·Susan W Tolle

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Software Mentioned

POLST
AzMOST
Medical Treatment Coversheet

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