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National POLST strongly recommends, but does not require, the patients signature, attestation, or witnessed verbal consent on POLST forms.
Completing a POLST form is voluntary. California law requires that a POLST form be followed by healthcare providers, and provides immunity to those who comply in good faith.
POLST is voluntary. If you are healthy, however, your provider may choose not sign a POLST form for you since it was designed for people who are seriously ill or have advanced frailty (some state laws do not allow providers to sign a POLST form unless you are seriously ill or have advanced frailty).
Pennsylvania Orders for Life Sustaining Treatment (POLST) is a medical order that gives. patients more control over their end-of-life care. The POLST form specifies the types of medical. treatment that a patient wishes to receive towards the end of life.
This order records your wishes for medical treatment in your current state of health. Once initial medical treatment is begun and the risks and benefits of further therapy are clear, your treatment wishes may change. Your medical care and this form can be changed to reflect your new wishes at any time.
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The POLST form is a medical order and must be signed by a physician, nurse practitioner or physician assistant to be valid (depends on state law). Each form has a statement or attestation that the health care professionals signature on the form indicates the orders on the form reflect the patients treatment wishes.
A Do Not Resuscitate (DNR) order focuses only on a persons preference to not receive cardiopulmonary resuscitation if they stop breathing or their heart stops beating. The DNR does not address other medical treatments. A POST form typically covers preferences for a wider range of treatments, including CPR.
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.
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.
Generally, yes, so long as it is valid (with required signatures and dates). Check with your state contact to confirm (look up at .polst.org/map; click on your state).

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