When patients arrive in the Emergency Department (ED), their wishes regarding life-sustaining
treatment are often unknown, even to close family members. To address this discrepancy,
Oregon was the first state to develop the Physician Orders for Life-Sustaining Treatment
(POLST) form, which Iowa adopted as the Iowa Physician Orders for Scope of Treatment
(IPOST) [
[1]
]. These documents are designed to create a clear, portable declaration of the patient's
healthcare treatment preferences and act as an executable order for the healthcare
team when the patient lacks decision-making capacity. Prior to the availability of
an IPOST, the Iowa code only specified the availability of DNR orders for terminally-ill
adult patients outside the hospital.Keywords
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References
- Iowa Physician Orders for Scope of Treatment (IPOST).2013 (Retrieved November 3, 2017, from)
- Transfer of do not resuscitate orders to the emergency department from extended care facilities.Am J Emerg Med. 2017 Jul; 35: 983-985
- National POLST paradigm state program designations.http://polst.org/programs-in-your-state/(Retrieved November 4, 2017, from)Date: 2017
- POST forms more than advance directives associated with out-of-hospital death: insights from a state registry.J Pain Symptom Manage. 2016 Feb; 51: 240-246
Article Info
Publication History
Published online: May 22, 2018
Accepted:
May 21,
2018
Received in revised form:
May 15,
2018
Received:
April 23,
2018
Footnotes
â?†None of the authors have conflicts of interest to declare in regards to this manuscript.
��This study was previously presented at the Des Moines University Research Symposium, Des Moines, IA in December 2017 and the COSGP Winter Research Symposium, Ft. Lauderdale, FL in January 2018.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
