Health Care Decision Making: Goals and - Maryland MOLST 2025

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A MOLST form must be completed during the admission process for patients admitted into nursing homes, assisted living programs, home health agencies, hospices, and kidney dialysis centers.
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.
MOLST is an acronym for Medical Orders for Life-Sustaining Treatment. The MOLST Program is an initiative to facilitate end-of-life medical decision-making in New York State, Connecticut, Massachusetts, Rhode Island, Ohio and Maryland, that involves use of the MOLST form.
If the patient loses capacity, the patients legally authorized representative has the legal right to reverse decisions documented on the MOLST form, but the legally authorized representative should always consider the patients wishes and goals of care.
Maryland MOLST (Medical Orders for Life Sustaining Treatment): A legally defined and authorized, enduring and portable order form that specifies orders for cardiopulmonary resuscitation and other life-sustaining treatments.
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An Advance Directive is a more general statement that you will either accept or decline life sustaining treatment in the event you become incapacitated and cannot speak for yourself. On the other hand, a MOLST form contains medical orders about specific life-sustaining treatments.

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