Brochures

These brochures provide patients and families with a broad, general overview of Oregon’s POLST program.


Educational Tools

The Oregon POLST Education Committee created standardized presentations to be used to educate about POLST with specific audiences.  If you or your facility is interested in using the Oregon POLST presentations, please contact the Oregon POLST Program Office (polst@ohsu.edu) for the PowerPoint version (includes faculty notes). 

Lay Audience presentation

Hospice presentation

New POLST Changes Impacting Hospice

Nursing Facility presentation 

Primary Care presentation

Key differences between the Advance Directive and the POLST form

New for Outpatient "Are we completing POLST forms on the right patients?"                                                                                                      A five minute slide set for healthcare professionals (MD, DO, NP, PA, ND)

New for Hospitalists "Are we completing POLST forms on the right patients?"                                                                                                     



Videos   

POLST: When is the Right Time?

Videos are best viewed in Google's Chrome browser.

This 3-minute video illustrates changes in Betty's life, showing completing an advance directive when healthy and a POLST when she becomes seriously ill.


Understanding POLST

The Oregon POLST Program’s “Understanding POLST” video provides a clear, detailed overview of the Oregon POLST Program and Form using language that individuals without a health care background can understand. The video explains the purpose of POLST and then describes each section of a POLST form.   


Understanding POLST (Spanish)

The Oregon POLST Program’s “Understanding POLST” video in Spanish provides a clear, detailed overview of the Oregon POLST Program and Form using language that individuals without a health care background can understand. The video explains the purpose of POLST and then describes each section of a POLST form.


Quitarles a sus seres queridos un peso de encima con el formulario POLST 

"Taking a burden off your loved ones with the POLST Form" is an educational tool for Spanish speaking patients. After being diagnosed with cancer, Gladys shares her experience with using the Physician's Orders for Life-Sustaining Treatment (POLST) to choose some treatments and refuse others.


POLST: Doing It Better

This video is an educational tool that describes POLST, clarifies which individuals POLST should be offered to, emphasizes best practices for POLST and corrects some common misconceptions.


POLST: When Advance Directives Are Not Enough

This video tells the story of Max and his family. When Max was confronted with difficult decisions about the care he wanted in the face of his advancing illness, he took comfort in the fact that his wish for a peaceful, natural death was clearly documented in an Advance Directive. Tragically, Max and his loving family discovered that the Advance Directive did not ensure that these wishes would be honored at a time of medical crisis. The video demonstrates the importance of POLST programs in these situations.


POLST: What's New and How Can We Do Better

This is a webinar presented by the Patient Centered Primary Care Institute on 3/18/15. Dr.
Tolle presented along with Joyce Hollander-Rodriguez, Gary Plant, and Lyle Flannigan on use of
POLST in Primary Care.


Dr. Susan Tolle explains the POLST Program

In this video, Dr. Susan Tolle, Director of the Center for Ethics in Health Care at Oregon Health & Science University, provides an overview of the Oregon POLST Program and discusses who can benefit from the POLST Program. 


Publications

Moss AH, Zive DM, Falkenstine EC, Dunithan C. (2017). The Quality of POLST Completion to Guide Treatment: A 2-State Study.  Journal of the American Medical Directors Association, available online 28 June 2017. doi: 10.1016/j.jamda.2017.05.015. 

Lammers A, Zive DM, Tolle SW, Fromme EK. (2017). The Oncology Specialist’s Role in POLST Form Completion. American Journal of Hospice and Palliative Medicine, available online 16 April 2017. doi:10.1177/1049909117702873.

Tolle SW, Teno JM. (2017). Lessons from Oregon in Embracing Complexity in End-of-Life Care. New England Journal of Medicine, available online 16 March 2017; 376:1078-1082. doi: 10.1056/NEJMsb1612511

Hayes SA, Zive D, Ferrell B, Tolle SW. (2016). The Role of Advanced Practice Registered Nurses in the Completion of Physician Orders for Life-Sustaining Treatment. Journal of Palliative Medicine, available online 21 October 2016. doi:10.1089/jpm.2016.0228.

Zive DM, Cook J, Yang C, Sibell D, Tolle SW, Lieberman M. (2016). Implementation of a Novel Electronic Health Record-Embedded Physician Orders for Life-Sustaining Treatment System. Journal of Medical Systems, available online 1 October 2016, 40: 245. doi:10.1007/s10916-016-0605-3

Zive DM, Fromme EK, Schmidt TA, Cook JNB, Tolle SW. (2015). Timing of POLST Form Completion by Cause of Death. Journal of Pain and Symptom Management, available online 7 July 2015, ISSN 0885-3924, http://dx.doi.org/10.1016/j.jpainsymman.2015.06.004. 

Fromme EK, Zive D, Schmidt TA, Cook JNB, Tolle SW. (2014). Association Between Physician Orders for Life-Sustaining Treatment for Scope of Treatment and In-Hospital Death in Oregon. Journal of the American Geriatrics Society, doi: 10.1111/jgs.12889.

Schmidt TA,  Olszewski Hunt EA, Zive D, Fromme EK, Tolle, SW. (2014). In Response to Letter to the EditorThe Journal of Emergency Medicine, ISSN 0736-4679, http://dx.doi.org/10.1016/j.jemermed.2014.07.057.

Schmidt TA, Zive D, Fromme EK, Cook JNB, Tolle SW. (2013). Physician Orders for Life-Sustaining Treatment (POLST): Lessons learned from analysis of the Oregon POLST RegistryResuscitation, available online 6 January 2014, ISSN 0300-9572, http://dx.doi.org/10.1016/j.resuscitation.2013.11.027. 

Richardson DK, Fromme EK, Zive D, Fu R, Newgard CD. (2013). Concordance of Out-of-Hospital and Emergency Department Cardiac Arrest Resuscitation With Documented End-of-Life Choices in Oregon. American College of Emergency Physicians, 2013 Nov 6.pii: S0196-0644(13)01345-0. doi: 10.1016/j.annemergmed.2013.09.00. 

Schmidt TA, Olszewski EA, Zive D, Fromme EK, Tolle SW. (2013). The Oregon POLST Registry: A Preliminary Study of Emergency Medical Services Utilization. The Journal of Emergency Medicine, Volume 44, Issue 4, April 2013, Pages 796-805, ISSN 0736-4679, 10.1016/j.jemermed.2012.07.081. 

Olszewski EA, Newgard CD, Zive D, Schmidt TA, McConnell KJ. (2012). Validation of Physician Orders for Life-Sustaining Treatment: Electronic Registry to Guide Emergency Care. Journal of the American Geriatrics Society, 2012 Jul; 60(7):1384-6. doi: 10.1111/j.1532-5415.2012.04027.x. 

Fromme EK, Zive D, Schmidt TA, Olszewski EA, Tolle SW. (2012) POLST Registry Do-Not-Resuscitate Orders and Other Patient Treatment PreferencesThe Journal of the American Medical Association, 2012;307(1):34-35. doi:10.1001/jama.2011.1956. 

Hickman SE, Nelson CA, Moss AH, Tolle SW, Perrin NA, Hammes BJ. (2011). The Consistency between treatment provided to nursing facility residents and orders on the physician orders for life-sustaining treatment form. Journal of the American Geriatrics Society, 59(11):2091-2099.

Hickman SE, Nelson CA, Perrin NA, Moss AH, Hammes BJ, Tolle SW. (2010). A comparison of methods to communicate treatment preferences in nursing facilities: Traditional practices versus the physician orders for life-sustaining treatment program. Journal of the American Geriatrics Society, 58(7):1241-1248.

Hickman SE, Nelson CA, Moss AH, Hammes BJ, Terwilliger A, Jackson A, Tolle SW. (2009). Use of the Physician Orders for Life-Sustaining Treatment (POLST) paradigm program in the hospice setting. Journal of Palliative Medicine. 12(2):133-41.  

Hickman SE, Sabatino CP, Moss AH, Nester Wehrle J. (2008). The POLST (Physician Orders for Life-Sustaining Treatment) Paradigm to Improve End-of-Life Care: Potential State Legal Barriers to Implementation. Journal of Law, Medicine & Ethics, 36: 119–140.  

Hickman SE, Hammes BJ, Moss AH, Tolle SW. (2005). Hope for the Future: Achieving the Original Intent of Advance Directives. Improving End of Life Care: Why Has It Been So Difficult? Hastings Center Report Special Report, 35(6):S26-S30.

Hickman SE, Tolle SW, Brummel-Smith K, Carley MM. (2004). Use of the physician orders for life-sustaining treatment program in Oregon nursing facilities: Beyond resuscitation status. Journal of the American Geriatrics Society, 52(9):1424-1429.  

Schmidt TA, Hickman SE, Tolle SW, Brooks HS. (2004). The physician orders for life-sustaining treatment program: Oregon emergency medical technicians’ practical experiences and attitudes. Journal of the American Geriatrics Society, 52(9):1430-1434.  

Lee MA, Brummel-Smith K, Meyer J, Drew N, London MR (2000). Physician Orders for Life-Sustaining Treatment (POLST): Outcomes in a PACE Program. Journal of the American Geriatrics Society, 48, 1219-1225.  

Tolle SW, Tilden VP. (2002). Changing End-of-Life Planning: The Oregon Experience. Journal of Palliative Medicine, 5(2):311-317.

Tolle SW, Tilden VP, Nelson CA, Dunn PM. (1998). A prospective study of the efficacy of the physician order form for life-sustaining treatment. Journal of the American Geriatrics Society, 46(9):1097-1102.  

Dunn PM, Schmidt TA, Carley MM, Donius M, Weinstein MA, Dull VT. (1996). A method to communicate patient preferences about medically indicated life-sustaining treatment in the out-of-hospital settingJournal of the American Geriatrics Society, 1996 Jul;44(7):785-791.