POLST and MOLST forms are medical orders that provide clear instructions about a patient’s preferences for life-sustaining treatments. These forms are designed for individuals with serious illnesses or frailty and are intended to ensure that their treatment preferences are honored across different healthcare settings.
Not everyone needs to create a POLST and MOLST. Here are considerations of when timing is most appropriate.
Serious Illness Diagnosis
A POLST (Physician Orders for Life-Sustaining Treatment) or MOLST (Medical Orders for Life-Sustaining Treatment) should be created when an individual is diagnosed with a serious illness. This ensures that their treatment preferences are clearly documented and respected throughout their healthcare journey.
Advanced Chronic Conditions
Individuals with advanced chronic conditions, such as advanced heart disease, COPD, or severe diabetes, should consider completing a POLST or MOLST form. This helps manage their care in alignment with their preferences as their condition progresses.
Frailty and Advanced Age
Elderly individuals, particularly those experiencing significant frailty or a decline in health, should have a POLST or MOLST in place. These forms ensure that their end-of-life care preferences are known and honored.
Frequent Hospitalizations
Patients who experience frequent hospitalizations or emergency room visits due to their medical conditions should complete a POLST or MOLST. This helps ensure continuity of care across different healthcare settings.
Terminal Illness
Individuals diagnosed with a terminal illness should complete a POLST or MOLST to clearly outline their preferences for life-sustaining treatments, focusing on their quality of life and comfort.
Hospice and Palliative Care
Patients receiving hospice or palliative care should have a POLST or MOLST to guide their care providers in delivering treatments that align with their end-of-life wishes.
Upon Request
Anyone who wishes to have their treatment preferences clearly documented and followed, regardless of their current health status, can choose to complete a POLST or MOLST.
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