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Centre for Policy on Ageing | |
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Physician Orders for Life-Sustaining Treatment (POLST)
— outcomes in a PACE Program | | Author(s) | Melinda A Lee, Kenneth Brummel-Smith, Jan Meyer |
| Journal title | Journal of the American Geriatrics Society, vol 48, no 10, October 2000 |
| Pages | pp 1219-1225 |
| Keywords | Terminal care ; Medical care ; Doctors ; United States of America. |
| Annotation | A retrospective review of Physician Orders for Life-Sustaining Treatment (POLST) at ElderPlace, a Program of All-Inclusive Care for the Elderly (PACE) site in Portland, Oregon, determined whether the preferences of residents now deceased had been carried out when they had become seriously ill. POLST completion at ElderPlace was found to exceed reported advance directive rates. Care matched POLST instructions for cardiopulmonary resuscitation (CPR), antibiotics, IV fluids, and feeding tubes more consistently than previously reported for advance directive instructions. However, medical intervention level was consistent with POLST instructions for less than half of the participants. The authors conclude that while the POLST is effective for limiting the use of some life-sustaining treatments, the factors that lead doctors to deviate from patients' stated preferences merit further investigation. (RH). |
| Accession Number | CPA-001211202 A |
| Classmark | LV: LK: QT2: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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