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Palliative Care in Long Term Care Settings

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Post "POLST" form
Author: ashelton
Date: Jun 2, 2008 4:46 pm
Approximately eight years ago the state of Georgia had a bright pink, heavy paper, form that was the "POLST" form. It was put out on a trial bases. I do not recall what the acronym stood for, but I did put this into use in our facility with the physicians permission and incorporated it into our care plans. It worked very well, but when I tried to call the number on the bottom of the sheet the lines had been disconected and I never have seen this again. I was told it began in the state of Oregon. Any information about this would be appreciated. Thanks Angie
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Re:"POLST" form (by TerrellVanAkenMD on 06/03/2008)
"POLST" stands for Physician Orders for Life-Sustaining Treatment. Unlike an advanced directive it is an actual M.D./D.O. order that, with the entire medical community approval, follows the patient between different sites and clearly defines their desire re: CPR and other interventions. This is permitted by HIPAA and is really intended for patients more toward the end of life such as an estimated one year of life expectancy. Currently, California has an assembly bill in process to establish it state wide while selected geographic areas have already incorporated it into their systems (after meetings between SNF's, hospitals, assisted living sites, EMS have agreed to its inception.) I hope to do that in my county but I am waiting on the legislation. Oregon, as usual, was the lead on this. The California Coalition for Compassionate Care is spearheading this in our state. Keeta Scholl is the administrative assistant at CCCC, krscholl@finalchoices.org. But please try this site first: www.finalchoices.org/ccccchcf_polst_form.htm. I hope that works and the CCCC doesn't mind the advertisement. I am really looking forward to widespread use in our county and the state of California.
Re:"POLST" form (by SharolHerr on 06/03/2008)
There is an organization at POLST.org that is helping to move the POLST initiative forward across the country. They have state by state specific contacts and progress noted. Here is the information for Georgia.
Information for Health Care Professionals in Georgia

Contact:
Beverly Tyler
Executive Director
Georgia Health Decisions
1720 Peachtree Street, Suite 1029
Atlanta, GA 300309
Phone: (800) 544-5751
E-mail: ghd@atlanta.com


State Specific Resources:
Improving Care At The End Of Life: A Long Term Care Initiative
Hope this is helpful.
Sharol Herr, RN, CHPN
Education Coordinator
Mt. Carmel Health Palliative Care Services
A CAPC Palliative Care Leadership Center
Cols., Ohio

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