CPM Summer 2018 - 13

daup h i n c m s .o rg

NJ POLST FORM

Similarly, in New Jersey's Practitioner's
Orders for Life Sustaining Treatment
(POLST) seen below, there is no mention of hydration or explanation of the
artificial method.
* No artificial nutrition
* Defined trial period of artificial nutrition
* Long-term artificial nutrition.

While the purpose of such a form is
for a healthcare facility or a healthcare
provider to understand a patient's wishes
when they are incapacitated, there are
times where family may be present and
naturally want more done to help their
loved ones. This, in turn may be against
the patient's actual wishes and may only
hasten their loved one's natural death.

medical condition alters. Of the four
forms, New York may exemplify the most
thorough and simple to use that prompts
practitioners to mention what each option
entails rather than a checklist that may
be ambiguous.
References on page 14

Some solutions to avoid ambiguity in
these important forms include separately
addressing hydration and artificial nutrition. Under artificial nutrition, it should
delineate between tube vs. parenteral route.
An additional recommendation is for every
practitioner to thoroughly explain each
choice carefully to both the patient and
family and reassess periodically as their
Central PA Medicine Summer 2018 13


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