Literature DB >> 24846321

The POLST paradigm and form:Facts and analysis.

Christian Brugger1, Louis C Breschi2, Edith Mary Hart3, Mark Kummer4, John I Lane5, Peter T Morrow6, Franklin L Smith7, William L Toffler8, Marisa Beffel9, John F Brehany10, Sara Buscher11, Rita L Marker12.   

Abstract

This white paper, prepared by a working group of the Catholic Medical Association, provides a commentary on a new type of end-of-life document called a POLST form (Physician Orders for Life-Sustaining Treatment) as well as on its model (or "paradigm") for implementation across the United States. After an introductory section reviewing the origin, goals, and standard defenses of the POLST paradigm and form, the paper offers a critical analysis of POLST, including an analysis of the risks that POLST poses to sound clinical and ethical decision-making. The paper ends with several recommendations to help Catholic healthcare professionals and institutions better address the challenges of end-of-life care with alternatives to POLST.

Keywords:  Advance decision-making; Advance directive; Catholic health care; End of life care; Euthanasia; In-the-moment-of-need medical decision-making; Living will; POLST

Year:  2013        PMID: 24846321      PMCID: PMC6026997          DOI: 10.1179/0024363913Z.00000000027

Source DB:  PubMed          Journal:  Linacre Q        ISSN: 0024-3639


  27 in total

1.  Physician orders for life-sustaining treatment form: honoring end-of-life directives for nursing home residents.

Authors:  Judy L Meyers; Crystal Moore; Alice McGrory; Jennifer Sparr; Melissa Ahern
Journal:  J Gerontol Nurs       Date:  2004-09       Impact factor: 1.254

2.  POLST offers next stage in honoring patient preferences.

Authors:  Diane E Meier; Larry Beresford
Journal:  J Palliat Med       Date:  2009-04       Impact factor: 2.947

3.  Going to meet death: the art of dying in the early part of the twenty-first century.

Authors:  John Hardwig
Journal:  Hastings Cent Rep       Date:  2009 Jul-Aug       Impact factor: 2.683

4.  End of life: POLST reflects patient wishes, clinical reality.

Authors:  Marian O Hodges
Journal:  Health Prog       Date:  2011 Mar-Apr

5.  POLST supports care in context of ERDs.

Authors:  Margaret R Mclean
Journal:  Health Prog       Date:  2012 Nov-Dec

6.  Death and end-of-life planning in one midwestern community.

Authors:  B J Hammes; B L Rooney
Journal:  Arch Intern Med       Date:  1998-02-23

7.  A method to communicate patient preferences about medically indicated life-sustaining treatment in the out-of-hospital setting.

Authors:  P M Dunn; T A Schmidt; M M Carley; M Donius; M A Weinstein; V T Dull
Journal:  J Am Geriatr Soc       Date:  1996-07       Impact factor: 5.562

8.  The POLST program: a retrospective review of the demographics of use and outcomes in one community where advance directives are prevalent.

Authors:  Bernard J Hammes; Brenda L Rooney; Jacob D Gundrum; Susan E Hickman; Nickijo Hager
Journal:  J Palliat Med       Date:  2012-01-10       Impact factor: 2.947

9.  The impact of advance care planning on end of life care in elderly patients: randomised controlled trial.

Authors:  Karen M Detering; Andrew D Hancock; Michael C Reade; William Silvester
Journal:  BMJ       Date:  2010-03-23

10.  Stopping dialysis of an incompetent patient over the family's objection: is it ever ethical and legal?

Authors:  R F Keating; A H Moss; M I Sorkin; J J Paris
Journal:  J Am Soc Nephrol       Date:  1994-05       Impact factor: 10.121

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  4 in total

1.  Justice and health care: When "ordinary" is extraordinary.

Authors:  James McTavish
Journal:  Linacre Q       Date:  2016-02

2.  Can the Communion of Saints Help the Search for Justice in Dying well (Enough), "In Abraham's Arms, Where Lazarus is Poor no Longer"?

Authors:  William Joseph Buckley
Journal:  Linacre Q       Date:  2013-11-01

3.  Quantifying the Mortality Impact of Do-Not-Resuscitate Orders in the ICU.

Authors:  Lior Fuchs; Matthew Anstey; Mengling Feng; Ronen Toledano; Slava Kogan; Michael D Howell; Peter Clardy; Leo Celi; Daniel Talmor; Victor Novack
Journal:  Crit Care Med       Date:  2017-06       Impact factor: 7.598

4.  Themes and variations: An exploratory international investigation into resuscitation decision-making.

Authors:  Alexander J O Gibbs; Alexandra C Malyon; Zoë B McC Fritz
Journal:  Resuscitation       Date:  2016-03-11       Impact factor: 5.262

  4 in total

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