POLST / POST / MOST

Commentary: Know Your POLST By Karen Ward, RN   POLST (Physician Orders for Life-Sustaining Treatment), also called POST (Physician Orders for Scope of Treatment) and MOST (Medical Orders for Scope of Treatment), is incrementally making its way across the U.S.   What is POLST? A physician's preprinted order sheet with check boxes to choose NO IV, antibiotics, do not resuscitate, and other treatment wishes, or lack thereof.   "Means To A Better End: A Report on Dying In America Today" was published in 2002 that hailed a state by state analysis by the now defunct Last Acts organization. Data allegedly did not exist until this report was published. http://www.rwjf.org/files/publications/other/meansbetterend.pdf   POLST is described on page 75 of this report and is part of the SUPPORT Study funded by the Robert Wood Johnson Foundation (RWJF). Last Acts Committees and Advisors include Right to Die (RTD) supporters, and are listed on pages 96 and 97 of this report.   Myra Christopher's Center for Practical Bioethics introduced the concept of POLST to End of Life and Right to Die supporters in the Robert Wood Johnson Foundation's (RWJF) Community State Partnership initiative #3. That initiative specifically states POLST prevents unwanted, aggressive life sustaining treatment by Emergency Medical Service personnel. Does it do the job it was intended for? If so, the EMS problem ought to be resolved. Advancing assisted suicide laws and hastening death by use of this form is totally contraindicated to its original development and purpose. POLST was developed by Oregon EOL proponents with the claim there was no legislative inclusion; however, we now know POLST has been created by statutes,...