Planning for healthcare decisions, especially in critical situations, is essential for seniors and their families. Two key tools that facilitate clear communication of medical preferences are the POLST (Physician Orders for Life-Sustaining Treatment) and MOLST (Medical Orders for Life-Sustaining Treatment) forms. But what exactly are these documents, and why are they so important? Let’s dive into a comprehensive guide to understanding POLST and MOLST.

What Are POLST and MOLST?

POLST and MOLST are medical orders designed to ensure that a person’s healthcare preferences are respected and followed in serious or life-limiting medical conditions. These forms are typically used by individuals with serious illnesses or those nearing the end of life. Unlike advance directives, which are legal documents expressing general wishes about medical care, POLST and MOLST forms provide actionable medical orders for healthcare professionals to follow.

Key Features of POLST and MOLST

Medical Orders: Unlike advance directives, POLST and MOLST are signed by a healthcare provider, making them immediately actionable by medical staff.
Portable: These forms travel with the patient across healthcare settings, ensuring continuity of care.
Specificity: POLST and MOLST forms include detailed instructions about treatments such as resuscitation (CPR), intubation, artificial nutrition, and comfort care.

How Do POLST and MOLST Differ from Advance Directives?

While both documents play important roles in healthcare planning, there are distinct differences:

POLST/MOLST: Meant for individuals with serious illnesses or frailty, providing specific medical orders based on current health status.
Advance Directives: Recommended for all adults, focusing on broader healthcare wishes for potential future scenarios and appointing a healthcare proxy.

Why Are POLST and MOLST Important?

Clarity in Emergencies: These forms eliminate confusion during emergencies by providing clear, specific instructions to healthcare providers.
Respect for Preferences: They ensure that medical care aligns with the patient’s values and goals.
Reduction of Unwanted Interventions: By specifying treatment preferences, POLST and MOLST help avoid unnecessary or undesired medical procedures.

How to Obtain and Complete POLST and MOLST Forms

Discuss with Your Doctor: These forms are completed in collaboration with a healthcare provider who can explain the options and implications of each choice.
Reflect on Your Values: Consider your healthcare goals, quality of life preferences, and beliefs when making decisions.
Communicate with Loved Ones: Share your decisions with family members and caregivers to ensure everyone understands your wishes.

When Are POLST and MOLST Forms Used?

These forms come into play during serious health events, such as:

Hospital admissions
Emergency medical responses
Transitions between care settings, such as moving from home to hospice or a nursing facility

Healthcare professionals use these forms as directives to guide treatment decisions that align with the patient’s wishes.

Are POLST and MOLST Forms Legally Recognized?

Yes, POLST and MOLST forms are legally recognized in many states, though their names and exact formats may vary. Some states have “POLST” programs, while others use “MOLST” or similar terms like “POST” (Physician Orders for Scope of Treatment). It’s essential to check your state’s regulations to ensure compliance.

Updating POLST and MOLST Forms

As health conditions and preferences may change, it’s crucial to periodically review and update these forms with your healthcare provider. Always ensure the most current version accompanies you to medical appointments and hospital visits.

Final Thoughts

POLST and MOLST forms empower seniors to have a say in their medical care, even during emergencies when they might not be able to communicate their wishes. By taking the time to understand and complete these forms, you can provide peace of mind for yourself and your loved ones, knowing your healthcare preferences will be honored.

If you or a loved one could benefit from a POLST or MOLST form, talk to your healthcare provider today. Taking this proactive step ensures your voice is heard when it matters most.

NEWS

9 Jan 2025

Understanding POLST and MOLST: What Every Senior Should Know

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