Seen recently on an ornery little old man's POLST formDNR- ( Can zap me once if that doesn't work stop)
Artificial Feeding-Yes (don't want to starve to death)
Antibiotics- Yes (but not the ones that give me diarrhea)
This form is a check off list- so to see this shaky handwriting on it made my night.. That LOM was a hoot!
**Physician Orders for Life Sustaining Treatment (POLST) form is a “portable” physician order form that describes the patient’s code directions.
· It is intended to go with the patient from one health care setting to another.
· It represents a way of summarizing wishes of an individual regarding life-sustaining treatment identified in an advanced directive such as a Healthcare Directive or Durable Power of Attorney for Health care and includes the following:
1. Patient wishes for resuscitation
2. Medical interventions
3. Antibiotics
4. Artificial feedings
· It is intended to go with the patient from one health care setting to another.
· It represents a way of summarizing wishes of an individual regarding life-sustaining treatment identified in an advanced directive such as a Healthcare Directive or Durable Power of Attorney for Health care and includes the following:
1. Patient wishes for resuscitation
2. Medical interventions
3. Antibiotics
4. Artificial feedings
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