Montana Provider Orders for Life-Sustaining Treatment (POLST) Montana Provider Orders for Life-Susta 2025

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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.
The only exception is if the patient includes a condition in the living will that allows a proxys decision to override theirs. As such, in a durable power of attorney for health care vs living will situation, the latter takes precedence under normal circumstances.
POLST or POST (physician/provider orders for life-sustaining treatment). MOLST (medical orders for life-sustaining treatment). COLST (clinician orders for life-sustaining treatment). MOST (medical order for scope of treatment).
A POLST isnt really a type of advance directive. Unlike a living will or durable power of attorney, which simply declares the patients preferences, a POLST has the authority of a medical order. As such, it has more clout than an advance directive and must be followed in all facilities where the patient is treated.
A do not resuscitate (DNR) order is a medical directive that instructs doctors not to perform cardiopulmonary resuscitation (CPR) if your heart stops or you stop breathing. A living will is a legal document that states your wishes for medical care if you become incapacitated and unable to make your own decisions.
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POLST helps give seriously-ill patients more control over the medical treatment they receive. The POLST form guides discussions between patients, their families, their physician, and their healthcare team about treatment wishes in instances of serious illness.
A POLST describes the treatments you do and dont want given your current state of health. It directs any immediate treatments you might need during an emergency. This makes it different from a living will, which communicates the care you prefer in the future.
The Physician Orders for Life‑Sustaining Treatment (POLST) is a physicians order that outlines a plan for end of life care reflecting both a patients preferences and a physicians judgment based on a medical evaluation.

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