PCMS_Philadelphia_Medicine_Spring2018 - 20

p h i l a m e d s o c  .org

Feature continued
The POLST process was created to translate a patient's
specific goals for end-of-life care into concise medical orders
that can follow the patient across all care settings. POLST
directives are entirely voluntarily and are expected to be
developed through communication between a patient and
his or her primary physician following a terminal diagnosis.
The POLST form is divided into four sections:
A. Resuscitation or Do Not Resuscitate
(Allow Natural Death, AND)
B. Level of Care: Full, Limited, or Comfort
C. Use of antibiotics
D. Use of tube feedings
Without the clear directions in the POLST ensuring the
patient's wishes are followed and the level of care desired by
the patient is delivered, health care providers may be left
with conflicting information.

The Pennsylvania POLST form.

20 Philadelphia Medicine : Spring 2018


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