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 HickmanPublished 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.