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Oregon POLST

Physician Orders for Life-Sustaining Treatment Paradigm

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Oregon: A Leader in End-of-Life Care

Physician Orders for Life-Sustaining Treatment Paradigm

Designed to improve the quality of care people receive at the end of life, the POLST paradigm is based on effective communication of patient wishes, documentation of medical orders on a brightly colored form and promise by a health care professional to honor these wishes.

Oregon POLST Form

POLST is a medical order. For those with advanced illness or frailty, a POLST form is completed with your health care professional to direct the kinds of treatment you want in a medical crisis. As a seriously ill patient, POLST orders help give you more control over the treatments you do or do not want to receive in a medical crisis. The form works even if you later lose the ability to speak for yourself.

The POLST order is signed by your physician, nurse practitioner or physician assistant after a discussion with you and/or your representative. Since it is a medical order that will be followed in an emergency, it is important that it reflect your wishes now, in your current state of health.

POLST: When Advance Directives Are Not Enough

When Max was confronted with difficult decisions about the care he wanted in the face of his advancing illness, he took comfort in the fact that his wish for a peaceful, natural death was clearly documented in an Advance Directive. Tragically, Max and his loving family discovered that the Advance Directive did not ensure that these wishes would be honored at a time of medical crisis. POLST would have made a difference.

POLST in Action

Spotlight on POLST

  • Facing Serious Illness: Make Your Wishes Known to your Health Care Professional

  • Oregon POLST Patient Brochure

  • The New York Times: Care at the End of Life
  • Version 3 of the Guidebook for Oregon's Health Care Professionals

  • Order Oregon POLST Forms and Materials

National POLST Paradigm Task Force

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OHSU Center for Ethics in Health Care