Designed to improve the quality of care people receive at the end-of-life, the Physician Orders for Life-Sustaining Treatment (POLST) Paradigm is based on effective communication of patient wishes, documentation of medical orders on a brightly colored form and promise by a health care professional to honor these wishes.
Lessons from Oregon in Embracing Complexity in End-of-Life Care
"People with serious illness or frailty in Oregon are more likely to have their end-of-life care wishes honored, and, consequently, less likely to be hospitalized and more likely to use home hospice services compared with Washington state and the rest of the country, according to data published (http://www.nejm.org/doi/pdf/10.1056/NEJMsb1612511) in the New England Journal of Medicine." (OHSU News, 3/15, https://news.ohsu.edu/2017/03/15/care-received-at-end-of-life-varies-drastically-by-state)
April 5-6, 2017: OSU Gerontology Conference: Aging Art of Living. On April 5, Susan Tolle, MD, Gwen Dayton, JD, Ruth Gulyas, Fred Steele, MPH, JD, and Christian Hale, JD will present "POLST: Understanding Regulations, Implementing Systems Change with the Goal of Honoring Patient Preferences" at OSU.
April 7, 2017: All-City Palliative Care. Kevin Dirksen, M.Div,MSc., will present "When They Ask For Everything to be Done: The Fusion of Clinical Integrity and Clinician-Ingenuity Goals of Care Discussions" at Providence St. Vincent Medical Center.
April 27, 2017: The Madeline Brill Nelson Speaker Series in Ethics Education. Stephen G. Post, PhD will present "Why Deeply Forgetful People Matter: Hope, Self-Identity and Health Care Ethics for Individuals with Dementia" at the OHSU Auditorium.