Physician Orders for Life-Sustaining Treatment (POLST) is more than a piece of paper or a set of data fields in an electronic registry. Instead, it is part of a larger cultural phenomenon; education, sensitive communication, accurate and timely recording and retrieval, and a system based on trust, which aims to ultimately honor a person's wishes for care as they near the end of life. Over the past 25 years, the Oregon POLST Coalition has made many changes to Oregon’s POLST form to improve its effectiveness. These changes are based on clinical experience and rigorous quality improvement research. The Oregon POLST Leadership Team has developed a summary of the major changes in the 12 POLST form revisions between 1993 and
2018. This document provides the opportunity to share such form changes to help POLST leaders in other states with the development of POLST-like programs. The summary is available on the Oregon POLST Policies and Standards webpage.
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