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Reasons for Discordance Between Life-Sustaining Treatment Preferences and Medical Orders in Nursing Facilities Without POLST.

Nicholette L Heim SmithRebecca L SudoreAnne L MyersBernard J HammesSusan E Hickman
Published in: The American journal of hospice & palliative care (2022)
Reasons for discordance between expressed preferences and LST orders suggest that in facilities without a uniform and systematic LST order documentation strategy like POLST, these conversations may not occur and/or be documented. Staff should be aware that residents and surrogates may have preferences about LSTs that require strategic solicitation and documentation.
Keyphrases
  • advance care planning
  • electronic health record
  • healthcare
  • decision making
  • mental health
  • combination therapy