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An advance directive is a direction from the patient, not a medical order. In contrast, a POLST form consists of a set of medical orders that applies to a limited population of patients and addresses a limited number of critical medical decisions.
Life-sustaining Treatments A machine to help with breathing (ventilator) A machine to help your kidneys (dialysis) A tube into your stomach to provide food (nasogastric or gastrostomy tube) A tube into your vein to provide fluids and medicines (intravenous, IV tube) A tube or mask to supply oxygen.
What Is It? Provider Orders for Life-sustaining Treatment (POLST) is a set of portable medical orders that communicate patient wishes for end-of-life intervention to health care facilities and providers, including Emergency Medical Services (EMS).
The DNR guides Emergency Medical Service (EMS) providers and can give EMS permission not to perform cardiopulmonary resuscitation (CPR), whereas a POLST might include a DNR instruction regarding CPR, but provides more instructions regarding additional medical interventions.
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