Understanding POLST
A POLST, or Physician Orders for Life-Sustaining Treatment, is a medical order that outlines a patient's wishes for end-of-life care. It is typically used for patients with serious illnesses or those who are nearing the end of life.
The POLST form is completed by a patient and their healthcare provider, and it provides clear instructions for medical treatments such as CPR, ventilation, and artificial nutrition.
Patient Autonomy and POLST
Patient autonomy is a fundamental principle in healthcare, and it refers to a patient's right to make informed decisions about their own medical care. A POLST is a way for patients to exercise their autonomy and ensure that their wishes are respected.
In most cases, a patient's POLST cannot be overridden by their family members. The patient's wishes, as outlined in the POLST, are considered to be their advance directive and are binding on healthcare providers.
Exceptions to Patient Autonomy
There are some exceptions to patient autonomy, and these may vary depending on the state or jurisdiction. For example, if a patient is deemed to be incapacitated or unable to make informed decisions, a family member or healthcare proxy may be able to make decisions on their behalf.
In some cases, a family member may be able to override a patient's POLST if they can demonstrate that the patient's wishes were not informed or if there has been a significant change in the patient's condition.
The Role of Family Members in POLST Decisions
Family members can play an important role in supporting a patient's wishes and ensuring that their POLST is respected. They can also provide valuable information about the patient's values, beliefs, and preferences.
However, family members should not attempt to override a patient's POLST without first discussing their concerns with the patient's healthcare provider and exploring all available options.
Seeking Legal Advice
If you are a patient or a family member and you have questions or concerns about POLST or patient autonomy, it is a good idea to seek legal advice from a qualified attorney. An attorney can help you understand your rights and options and provide guidance on how to navigate the healthcare system.
An attorney can also help you to ensure that your wishes are respected and that your POLST is valid and enforceable. They can also provide support and advocacy during difficult times.
Frequently Asked Questions
What is a POLST and how does it work?
A POLST is a medical order that outlines a patient's wishes for end-of-life care. It is completed by a patient and their healthcare provider and provides clear instructions for medical treatments.
Can a family member override a patient's POLST?
In most cases, a family member cannot override a patient's POLST. The patient's wishes, as outlined in the POLST, are considered to be their advance directive and are binding on healthcare providers.
What happens if a patient is deemed incapacitated?
If a patient is deemed incapacitated, a family member or healthcare proxy may be able to make decisions on their behalf. However, this should only be done in accordance with the patient's advance directive or POLST.
How can I ensure that my POLST is respected?
To ensure that your POLST is respected, you should discuss your wishes with your healthcare provider and family members. You should also review and update your POLST regularly to ensure that it remains valid and enforceable.
What is the difference between a POLST and an advance directive?
A POLST is a medical order that outlines a patient's wishes for end-of-life care, while an advance directive is a broader document that outlines a patient's wishes for all aspects of their medical care.
Can I change my mind about my POLST?
Yes, you can change your mind about your POLST at any time. You should discuss any changes with your healthcare provider and update your POLST accordingly.