Updated Primary Care Slide Set for POLST Educators

The Oregon POLST Task Force Education Committee has updated the Primary Care presentation. Posted here is the PDF Version - if you or your facility is interested in using this, please contact the Oregon POLST Program Office (polst@ohsu.edu) for the PowerPoint version, including faculty notes. 

Nurse practitioners fill gap by providing timely help in recording end-of-life treatment wishes

  • OHSU study published in the Journal of Palliative Medicine found that in Oregon, nurse practitioners completed nearly 25,000, or 11 percent, of Physician Orders for Life-Sustaining Treatment (POLST) forms, in the past six years 
  • 3 of 19 states with established POLST programs don’t permit nurse practitioners to execute forms, making access inconsistent

Click here to view the study published in the Journal of Palliative Medicine today. A video featuring lead author Sophia Hayes is also available by clicking here

New POLST brochure that connects better with the public

The Oregon POLST Task Force approved a new POLST brochure for lay audiences. Earlier this year, we received feedback on the need for a greater patient voice in educational material. The Community Insight Committee was convened and tasked with advising us as we expand the use of stories to educate the public about the role and relationship of POLST and advance directives. Click here to view the printable version. 

Oregon POLST Task Force approves standard language for hospital transfer forms

The Oregon POLST Task Force has extensively reviewed the misperception by some that POLST orders were required in long-term care. The Task Force focused on two issues:

  • Facilities need to record code status
  • We do not want healthy patients transferred from acute care hospital to long-term care facilities being required to complete POLST forms to address the need of code status

The outcome was to create language that hospitals could integrate into hospital to facility transfer order sets. Click here to view the OPTF recommendation.

Comment

Oregon has better cardiac arrest survival and lower rates of CPR in Nursing Homes

In addition to an outstanding statewide EMS system, the POLST Program likely contributes to the 50% better survival rates of out of hospital arrest with CPR in Oregon vs national data (15.4% vs 10.6%) and with better cognitive outcomes.  For those nearing the end of their lives who do not want CPR (often with low odds of survival if we tried), the POLST Program makes it possible for them to refuse CPR (removing people with a poorer prognosis from these statistics likely contributes to Oregon’s improved resuscitation rates).  Note the low rate of attempted resuscitation in Oregon Nursing homes (6.2% vs 10.6%).  In 2015, only 120 attempted resuscitations were done in Oregon skilled nursing facilities (and some/most may have wanted CPR or not planned ahead to avoid it).  Being able to find POLST orders in a crisis via the Registry also helps assure that patient preferences are honored.  Click here to view the Cardiac Arrest Registry to Enhance Survival (CARES) 2015 report.

   

Comment

Comment

New Educational Tool for POLST Educators

The Oregon POLST Task Force Education Committee has finalized the Hospice presentation. Posted here is the PDF Version - if you or your facility is interested in using these with patients, please contact the Oregon POLST Program Office (polst@ohsu.edu) for the PowerPoint version, including faculty notes. 

Comment

Comment

New Educational Tool for POLST Educators

The Oregon POLST Task Force Education Committee has finalized the Primary Care presentation. Posted here is the PDF Version - if you or your facility is interested in using these with patients, please contact the Oregon POLST Program Office (polst@ohsu.edu) for the PowerPoint version, including faculty notes. 

Comment