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MOLST is generally for patients with serious health conditions. Physicians should consider consulting with the patient about completing a MOLST form if the patient: Wants to avoid or receive life-sustaining treatment. Resides in a long-term care facility or requires long-term care services.
A physician or nurse practitioner must sign the MOLST form. All health care professionals must follow these medical orders as the patient moves from one location to another, unless a physician or nurse practitioner examines the patient, reviews the orders, and changes them.
MOLST is a medical order form (similar to a prescription) that relays instructions between health professionals about a patients care. MOLST is based on an individuals right to accept or refuse medical treatment, including treatments that might extend life. MOLST is not for everyone.
THE PHYSICIAN OR NURSE PRACTITIONER KEEPS A COPY. This is a medical order form that tells others the patients wishes for life-sustaining treatment. A health care professional must complete or change the MOLST form based on the patients current medical condition, values, wishes, and MOLST Instructions.
Advance directives (like a health care proxy and living will) document future care preference and are difficult to interpret in an emergency. Advance directives are for everyone 18 years of age and older. MOLST is a set of medical orders that defines life-sustaining treatment the patient wants to receive or avoid now.
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