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Assessing the accessibility to the IPOST at admission to the Emergency Department

  • Lindsey Harrison
    Correspondence
    Corresponding author at: UnityPoint Health, Office of Research, 1415 Woodland Avenue, Suite 218, Des Moines, IA 50309, United States.
    Affiliations
    UnityPoint Health, Office of Research, 1415 Woodland Avenue, Suite 218, Des Moines, IA 50309, United States

    Des Moines University College of Osteopathic Medicine, 3200 Grand Avenue, Des Moines, IA 50312, United States
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  • Emilie O'Connor
    Affiliations
    UnityPoint Health, Office of Research, 1415 Woodland Avenue, Suite 218, Des Moines, IA 50309, United States

    Des Moines University College of Osteopathic Medicine, 3200 Grand Avenue, Des Moines, IA 50312, United States
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  • Catherine Hackett Renner
    Affiliations
    UnityPoint Health, Office of Research, 1415 Woodland Avenue, Suite 218, Des Moines, IA 50309, United States
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  • Nicholas Kluesner
    Affiliations
    UnityPoint Health, Department of Emergency Medicine, 1200 Pleasant Street, Des Moines, IA 50309, United States
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      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) [
      • Iowa Department of Public Health
      Iowa Physician Orders for Scope of Treatment (IPOST).
      ]. 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.

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      References

        • Iowa Department of Public Health
        Iowa Physician Orders for Scope of Treatment (IPOST).
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        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