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Involuntary Administration of Medication or ECT A person over 18 may petition the court for a judge to mandate that you be administered medication or ECT despite your refusal.
The Physician Orders for Life-Sustaining Treatment (POLST) form is a tool for end-of-life planning. The form ensures that a patients treatment wishes are known and will be followed by health care professionals during a medical crisis, when the patient cannot speak for themselves.
An advance directive is a direction from the patient, not a medical order. On the other hand, a POLST form gives medical orders.
Benefits of a POLST Form It enables all medical facilities in which a patient is treated to learn of the patients wishes if he or she is unable to communicate them.
Like a DNR, a POLST form lets EMS know whether or not the patient wants CPR. DNR orders only apply when a person does not have a pulse, is not breathing and is unresponsive. However, in most medical emergencies, a person does have a pulse, is breathing or is responsive. Thats where POLST is different.

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The completion of a POLST form is always voluntary, cannot be mandated, and may be changed at any time. A POLST should reflect current preferences of persons completing the POLST Form; encourage completion of a POAHC. Verbal/phone consent by the patient or legal representative are acceptable.
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.
Is POLST mandated by law? Filling out a POLST form is entirely voluntary. However, California law requires that the physician orders in a POLST be followed by health care professionals, and provides immunity from civil or criminal liability to those who comply in good faith with a patients POLST requests.

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