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 POLST program (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 an Advance Directive and POLST

New for Outpatient "Are we completing POLST forms on the right patients?"                                                                                                      A five minute slide set for healthcare professionals (M.D., D.O., N.P., P.A., N.D.)

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 the completion 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 POLST form 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

Zive DM, Jimenez VM, Fromme EK, Tolle SW. Changes Over Time in the Oregon Physician Orders for Life-Sustaining Treatment Registry: A Study of Two Decedent Cohorts. J Palliat Med. Epub 2018 Nov 21.

Tolle SW, Teno JM. Counting POLST Form Completion Can Hinder Quality. Health Affairs Blog, July 19, 2018. DOI:10.1377/hblog20180709.244065

Moss AH, Zive DM, Falkenstine EC, Dunithan C. The Quality of POLST Completion to Guide Treatment: A 2-State Study. J Am Med Dir Assoc. 2017 Sep 1;18(9):810.e5-810.e9. doi: 10.1016/j.jamda.2017.05.015. Epub 2017 Jun 28.

Lammers A, Zive DM, Tolle SW, Fromme EK. The Oncology Specialist’s Role in POLST Form Completion. Am J Hosp Palliat Care. 2018 Feb;35(2):297-303. doi: 10.1177/1049909117702873. Epub 2017 Apr 16.

Tolle SW, Teno JM. Lessons from Oregon in Embracing Complexity in End-of-Life Care. N Engl J Med. 2017 Mar 16;376(11):1078-1082. doi: 10.1056/NEJMsb1612511.

Hayes SA, Zive D, Ferrell B, Tolle SW. The Role of Advanced Practice Registered Nurses in the Completion of Physician Orders for Life-Sustaining Treatment. J Palliat Med. 2017 Apr;20(4):415-419. doi: 10.1089/jpm.2016.0228. Epub 2016 Oct 21.

Zive DM, Cook J, Yang C, Sibell D, Tolle SW, Lieberman M. Implementation of a Novel Electronic Health Record-Embedded Physician Orders for Life-Sustaining Treatment System. J Med Syst. 2016 Nov;40(11):245. Epub 2016 Oct 1.

Zive DM, Fromme EK, Schmidt TA, Cook JNB, Tolle SW. Timing of POLST Form Completion by Cause of Death. J Med Syst. 2016 Nov;40(11):245. Epub 2016 Oct 1.

Fromme EK, Zive D, Schmidt TA, Cook JNB, Tolle SW. Association Between Physician Orders for Life-Sustaining Treatment for Scope of Treatment and In-Hospital Death in Oregon. J Am Geriatr Soc. 2014 Jul;62(7):1246-51. doi: 10.1111/jgs.12889. Epub 2014 Jun 9.

Schmidt TA,  Olszewski Hunt EA, Zive D, Fromme EK, Tolle, SW. In Response to Letter to the Editor. J Emerg Med. http://dx.doi.org/10.1016/j.jemermed.2014.07.057. Epub 2014 Dec 26.

Schmidt TA, Zive D, Fromme EK, Cook JNB, Tolle SW. Physician Orders for Life-Sustaining Treatment (POLST): Lessons learned from analysis of the Oregon POLST RegistryResuscitation. 2014 Apr;85(4):480-5. doi: 10.1016/j.resuscitation.2013.11.027. Epub 2014 Jan 6.

Richardson DK, Fromme EK, Zive D, Fu R, Newgard CD. Concordance of Out-of-Hospital and Emergency Department Cardiac Arrest Resuscitation With Documented End-of-Life Choices in Oregon. Ann Emerg Med. 2014 Apr;63(4):375-83. doi: 10.1016/j.annemergmed.2013.09.004. Epub 2013 Nov 6.

Schmidt TA, Olszewski EA, Zive D, Fromme EK, Tolle SW. The Oregon POLST Registry: A Preliminary Study of Emergency Medical Services Utilization. J Emerg Med. 2013 Apr;44(4):796-805. doi: 10.1016/j.jemermed.2012.07.081. Epub 2013 Jan 16.

Olszewski EA, Newgard CD, Zive D, Schmidt TA, McConnell KJ. Validation of Physician Orders for Life-Sustaining Treatment: Electronic Registry to Guide Emergency Care. J Am Geriatr Soc. 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. POLST Registry Do-Not-Resuscitate Orders and Other Patient Treatment PreferencesJAMA. 2012 Jan 4;307(1):34-5. doi: 10.1001/jama.2011.1956.

Hickman SE, Nelson CA, Moss AH, Tolle SW, Perrin NA, Hammes BJ. The Consistency between treatment provided to nursing facility residents and orders on the physician orders for life-sustaining treatment form. J Am Geriatr Soc. 2011 Nov;59(11):2091-9. doi: 10.1111/j.1532-5415.2011.03656.x. Epub 2011 Oct 22.

Hickman SE, Nelson CA, Perrin NA, Moss AH, Hammes BJ, Tolle SW. A comparison of methods to communicate treatment preferences in nursing facilities: Traditional practices versus the physician orders for life-sustaining treatment program. J Am Geriatr Soc. 2010 Jul;58(7):1241-8. doi: 10.1111/j.1532-5415.2010.02955.x.

Hickman SE, Nelson CA, Moss AH, Hammes BJ, Terwilliger A, Jackson A, Tolle SW. Use of the Physician Orders for Life-Sustaining Treatment (POLST) paradigm program in the hospice setting. J Palliat Med. 2009 Feb;12(2):133-41. doi: 10.1089/jpm.2008.0196.

Hickman SE, Sabatino CP, Moss AH, Nester Wehrle J. The POLST (Physician Orders for Life-Sustaining Treatment) Paradigm to Improve End-of-Life Care: Potential State Legal Barriers to Implementation. J Law Med Ethics. 2008 Spring;36(1):119-40, 4. doi: 10.1111/j.1748-720X.2008.00242.x.  

Hickman SE, Hammes BJ, Moss AH, Tolle SW. Hope for the Future: Achieving the Original Intent of Advance Directives. Hastings Cent Rep. 2005 Nov-Dec;Spec No:S26-30.

Hickman SE, Tolle SW, Brummel-Smith K, Carley MM. Use of the physician orders for life-sustaining treatment program in Oregon nursing facilities: Beyond resuscitation status. J Am Geriatr Soc. 2004 Sep;52(9):1424-9.

Schmidt TA, Hickman SE, Tolle SW, Brooks HS. The physician orders for life-sustaining treatment program: Oregon emergency medical technicians’ practical experiences and attitudes.  J Am Geriatr Soc. 2004 Sep;52(9):1430-4.

Lee MA, Brummel-Smith K, Meyer J, Drew N, London MR. Physician Orders for Life-Sustaining Treatment (POLST): Outcomes in a PACE Program. J Am Geriatr Soc. 2000 Oct;48(10):1219-25.

Tolle SW, Tilden VP. Changing End-of-Life Planning: The Oregon Experience. J Palliat Med. 2002 Apr;5(2):311-7.

Tolle SW, Tilden VP, Nelson CA, Dunn PM. A prospective study of the efficacy of the physician order form for life-sustaining treatment. J Am Geriatr Soc. 1998 Sep;46(9):1097-102.  

Dunn PM, Schmidt TA, Carley MM, Donius M, Weinstein MA, Dull VT. A method to communicate patient preferences about medically indicated life-sustaining treatment in the out-of-hospital settingJ Am Geriatr Soc. 1996 Jul;44(7):785-91.