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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. Most other U.S. states have similar initiatives, such as Physician Orders for Life-Sustaining Treatment.
Research suggests the POLST form accurately represents individual's treatment preferences the majority of the time [17] and that the treatments provided at the end of life match the orders on the form. [18] An established POLST program can help reduce unwanted hospitalizations and honor the person's end-of-life wishes. [1]
Those physicians who have more exposure to end-of-life care also have a higher likelihood of involving nurses in their decision-making process. [71] A systematic review assessing end-of-life conversations between heart failure patients and healthcare professionals evaluated physician attitudes and preferences towards end-of-life care ...
[37] [38] Studies suggest that values regarding financial and psychological burden are strong motivators in not wanting a broad array of end-of-life therapies. [ 39 ] Another alternative to a conventional healthcare proxy is the medical directive , [ 40 ] [ 41 ] a document that describes six case scenarios for advance medical decision-making.
Wishes 1 and 2 are both legal documents. Once signed, they meet the legal requirements for an advance directive in the states listed below.Wishes 3, 4, and 5 are unique to Five Wishes, in that they address matters of comfort care, spirituality, forgiveness, and final wishes.
Deciding to forego life-sustaining treatment: a report on the ethical, medical, and legal issues in treatment decisions. Washington, DC: President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research: For sale by the Supt. of Docs. U.S. G.P.O. Rachels, James. The End of Life: Euthanasia and Morality ...