Printable Polst Form


Printable Polst Form

What is a POLST Form and Why Do You Need One?

Navigating end-of-life care can be a daunting task, filled with complex medical decisions and emotional challenges. A Physician Orders for Life-Sustaining Treatment (POLST) form, sometimes referred to as a Medical Orders for Life-Sustaining Treatment (MOLST) form or other state-specific variations, is a vital tool that helps individuals communicate their wishes regarding medical treatment during a serious illness or near the end of life. Think of it as a roadmap, providing clear instructions to healthcare professionals about the specific treatments you want or don’t want to receive. Unlike a living will, which is a more general document, a POLST form is a medical order that is actionable by medical personnel. This means that doctors, nurses, and emergency responders are legally obligated to follow the instructions outlined in your completed POLST form. Having a “printable POLST form” readily available allows you to start the conversation with your doctor and complete the document at your convenience. It’s a crucial step in ensuring your end-of-life care aligns with your values and preferences. It’s not about giving up; it’s about taking control.

Understanding the Key Sections of a POLST Form

A typical “printable POLST form” is divided into sections, each addressing specific medical interventions. The first section generally focuses on cardiopulmonary resuscitation (CPR). Here, you indicate whether you want CPR to be administered if your heart stops or you stop breathing. This is a critical decision, and it’s essential to have an open and honest discussion with your physician about the potential benefits and risks of CPR in your specific medical condition. The next section usually addresses medical interventions beyond CPR. This may include choices about the level of medical treatment you desire, such as comfort care, limited medical interventions, or full treatment. Comfort care focuses on relieving pain and suffering, while limited medical interventions might include antibiotics or IV fluids but exclude more aggressive measures like intubation or mechanical ventilation. Full treatment encompasses all available medical interventions, including those aimed at prolonging life. The final sections typically cover artificial nutrition and hydration, as well as other specific medical preferences you may have. It’s important to carefully review each section of the “printable POLST form” with your doctor to ensure your choices are clearly documented and understood.

How to Obtain and Complete a Printable POLST Form

Obtaining a “printable POLST form” is usually a straightforward process. The form is typically available from your doctor’s office, local hospitals, or your state’s health department website. Many states also have organizations dedicated to end-of-life care planning that can provide assistance and resources. Once you have the form, the most crucial step is to discuss your wishes with your physician. They can explain the implications of each choice and help you make informed decisions based on your individual health status and values. It’s also essential to involve your family or other loved ones in the conversation. This ensures they understand your wishes and can advocate for you if you are unable to do so yourself. After you’ve completed the form with your doctor, make sure it is signed by both you (or your legal representative) and your physician. Keep the original “printable POLST form” in a readily accessible location, and provide copies to your healthcare providers, family members, and anyone else who may need to know your wishes. Remember, this form is a legal document, so treat it with the same care and attention you would any other important medical directive.

1. Who Should Consider Completing a POLST Form?


1. Who Should Consider Completing A POLST Form?, Form

While anyone can complete a POLST form, it’s particularly beneficial for individuals who are seriously ill, frail, or nearing the end of their lives. If you have a chronic medical condition, such as heart failure, chronic obstructive pulmonary disease (COPD), or cancer, a POLST form can provide invaluable guidance to healthcare professionals in the event of a medical crisis. Similarly, if you are living in a nursing home or assisted living facility, a POLST form can ensure that your wishes are honored in the event of a medical emergency. Even if you are generally healthy but have strong feelings about specific medical treatments, a POLST form can offer peace of mind. It’s not just for the elderly or those with terminal illnesses; it’s for anyone who wants to proactively communicate their healthcare preferences. A “printable POLST form” empowers you to make your voice heard, even when you can’t speak for yourself. It’s about ensuring your values guide your care, regardless of your age or health status.

Keeping Your POLST Form Up-to-Date and Accessible

A “printable POLST form” is not a one-time document; it’s a living document that should be reviewed and updated periodically, especially if your health status changes or your wishes evolve. It’s a good idea to discuss your POLST form with your doctor at least once a year, or more frequently if needed. If you make any changes to your POLST form, be sure to complete a new form and distribute copies to all relevant parties. It’s also crucial to ensure that your POLST form is readily accessible to healthcare providers in the event of an emergency. Some states have electronic registries where you can store your POLST form, making it easily accessible to authorized medical personnel. If your state doesn’t have a registry, consider keeping a copy of your POLST form with your medical records, and inform your family and friends where it can be found. The goal is to make it as easy as possible for healthcare providers to access your POLST form and honor your wishes. Regular review and proper storage are essential to ensuring that your “printable POLST form” remains a valid and effective tool for guiding your end-of-life care.

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