A prospective study of the efficacy of The Physician Order Form for Life-Sustaining Treatment

Article Abstract:

A prospective study has been carried out on efficacy of a one-page form called The Physician Orders Form for Life-Sustaining Treatment (POLST). Chart record data was used to follow the nursing home residents whose forms called for no resuscitation prospectively. The patients were to be moved to a hospital only if comfort measures were not adequate. No subject received ICU care, CPR or ventilator support. Only 2% were hospitalized to extend life, and 38 of the 180 total subjects died in the year of the study, while 63% had an order for narcotics.

Health aspects, Care and treatment, Aged, Elderly, Research, Usage, Laws, regulations and rules, Physicians, Medical professions, Patients, Geriatrics, Civil rights, Intensive care units, Analgesics, Life support systems (Critical care), Life support care

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Out-of-hospital death: advance care planning, decedent symptoms, and caregiver burden

Article Abstract:

The end-of-life experiences of elderly descendents dying out of the hospital and their family caregivers in a state in which the vast majority of Medicare deaths occur in the community settings are examined. The perceived symptom distress is high for a subset of decedents, and caregiver strain is common despite the high rates of advance directives and hospice enrollment.

United States, Services information, Psychological aspects, Services, Caregivers, Hospices (Terminal care), Hospices

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The physician orders for life-sustaining treatment program: Oregon emergency medical technicians' practical experiences and attitudes

Article Abstract:

A study was conducted to evaluate emergency medical technicians' (EMTS) experiences with the physician orders for life-sustaining treatment (POLST) program and learn about attitudes regarding its effectiveness. EMTs find the POLST form useful and they often use it to change treatment decisions for patients.

Research and Development in the Physical, Engineering, and Life Sciences, Research and Testing Services, Management dynamics, Public affairs, Oregon, Ethics, Geriatric Research, Ethical aspects, Emergency medical technicians

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