PHYSICIAN ORDERS FOR LIFE-SUSTAINING TREATMENT
Back to GlossaryDefinition
A document, constituting a physician's order, detailing the types of medical treatments an individual wishes to receive when they are within a year or so of death. The POLST is part of the patient's medical record and is used to minimize the potential for medical errors in providing treatment.
Summary
POLST is a standardized medical order form that translates a patient's end-of-life care preferences into actionable medical orders. Unlike advance directives (which are legal documents), POLST is a medical order that must be signed by a physician and travels with the patient across all care settings. It's designed for seriously ill patients who are likely facing death within a year and covers specific treatments like CPR, artificial nutrition, and hospitalization preferences. The bright-colored form ensures it's easily recognizable by emergency responders and healthcare providers.
Usage Context
Essential when studying end-of-life care, patient autonomy, healthcare ethics, nursing practice in acute and long-term care settings, and understanding the legal framework of medical decision-making for terminally ill patients.
Common Confusions
- Thinking POLST and advance directives are the same thing
- Believing anyone can fill out a POLST form without physician involvement
- Assuming POLST is only about DNR orders
- Confusing POLST with a will or testament
- Thinking POLST cannot be modified once signed
- Believing POLST is legally binding in all situations regardless of state laws
