The Essential Role of POLST & MOLST Forms in Elder Care
If you’ve ever wondered why POLST and MOLST forms are so critical in elder care, you’re not alone. These forms simplify complex decisions, ensuring that patients receive the care they want—and only the care they want—during life’s most vulnerable moments.
What Are POLST and MOLST Forms?
POLST stands for Physician Orders for Life-Sustaining Treatment, and MOLST is its counterpart, Medical Orders for Life-Sustaining Treatment (the terminology varies by state). These forms act as a roadmap for medical teams, outlining a patient’s preferences for life-saving treatments. Unlike an advance directive, which can be more general, POLST and MOLST forms translate those wishes into actionable medical orders.
Why Do They Matter?
Imagine being in a high-stakes medical situation where every second counts. POLST and MOLST forms answer the tough questions ahead of time, such as:
CPR: Should it be performed if the patient’s heart stops?
Ventilators: Does the patient want to be placed on one?
Other Interventions: Should the patient receive antibiotics or artificial nutrition?
These decisions aren’t easy, but having them documented ensures that the patient’s voice is heard—even when they can’t speak for themselves.
A Tool for Nurses and Families
As a nurse, you play a vital role in facilitating these conversations. POLST and MOLST forms provide clarity, reducing confusion and emotional strain for families during emergencies. They also make your job easier by giving clear instructions, so you can focus on delivering the care that aligns with your patient’s wishes.
"These forms make sure everyone’s on the same page, so patients get the care they want—not what someone assumes they want."
When Should These Forms Be Completed?
It’s best to introduce POLST and MOLST forms early, especially for patients with serious illnesses or those nearing the end of life. As a trusted healthcare provider, you can guide these discussions with empathy and professionalism, ensuring that patients and their families feel supported.
Make It Part of Your Practice
Have you used POLST or MOLST forms in your practice? These forms are not just paperwork; they are a powerful tool to advocate for your patients and honor their choices. By incorporating these discussions into your care routine, you’re taking a proactive step to improve outcomes and reduce stress for everyone involved.
Your Role as a Nurse Entrepreneur
If you’re a nurse looking to expand your impact beyond traditional roles, understanding tools like POLST and MOLST forms can set you apart. Whether you’re in concierge nursing, care management, or another field, these forms are essential for providing patient-centered care.
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"As a nurse, it’s so important to have these conversations with your patients and their families early on."
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