The POLST paradigm and form: Facts and analysis

Christian Brugger; Louis C. Breschi; Edith Mary Hart; Mark Kummer; John I. Lane; Peter T. Morrow; Franklin L. Smith; William L. Toffler; Marisa Beffel; John F. Brehany; Sara Buscher; Rita L. Marker

doi:10.1179/0024363913Z.00000000027

The POLST paradigm and form: Facts and analysis

Christian Brugger, Louis C. Breschi, Edith Mary Hart, Mark Kummer, John I. Lane, Peter T. Morrow, Franklin L. Smith, William L. Toffler, Marisa Beffel, John F. Brehany, Sara Buscher, Rita L. Marker

Family Medicine

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

This white paper, prepared by a working group of the Catholic Medical Association, provides a commentary on a new type of end-of-life document called a POLST form (Physician Orders for Life- Sustaining Treatment) as well as on its model (or "paradigm") for implementation across the United States. After an introductory section reviewing the origin, goals, and standard defenses of the POLST paradigm and form, the paper offers a critical analysis of POLST, including an analysis of the risks that POLST poses to sound clinical and ethical decision-making. The paper ends with several recommendations to help Catholic healthcare professionals and institutions better address the challenges of end-of-life care with alternatives to POLST.

Original language	English (US)
Pages (from-to)	103-138
Number of pages	36
Journal	Linacre Quarterly
Volume	80
Issue number	2
DOIs	https://doi.org/10.1179/0024363913Z.00000000027
State	Published - May 2013

Keywords

Advance decision-making
Advance directive
Catholic health care
End of life care
Euthanasia
In-the-moment-of-need medical decision-making
Living will
POLST

ASJC Scopus subject areas

Philosophy
Health Policy

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10.1179/0024363913Z.00000000027

Cite this

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title = "The POLST paradigm and form: Facts and analysis",

abstract = "This white paper, prepared by a working group of the Catholic Medical Association, provides a commentary on a new type of end-of-life document called a POLST form (Physician Orders for Life- Sustaining Treatment) as well as on its model (or {"}paradigm{"}) for implementation across the United States. After an introductory section reviewing the origin, goals, and standard defenses of the POLST paradigm and form, the paper offers a critical analysis of POLST, including an analysis of the risks that POLST poses to sound clinical and ethical decision-making. The paper ends with several recommendations to help Catholic healthcare professionals and institutions better address the challenges of end-of-life care with alternatives to POLST.",

keywords = "Advance decision-making, Advance directive, Catholic health care, End of life care, Euthanasia, In-the-moment-of-need medical decision-making, Living will, POLST",

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AU - Hart, Edith Mary

AU - Kummer, Mark

AU - Lane, John I.

AU - Morrow, Peter T.

AU - Smith, Franklin L.

AU - Toffler, William L.

AU - Beffel, Marisa

AU - Brehany, John F.

AU - Buscher, Sara

AU - Marker, Rita L.

PY - 2013/5

Y1 - 2013/5

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KW - Advance directive

KW - Catholic health care

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KW - Euthanasia

KW - In-the-moment-of-need medical decision-making

KW - Living will

KW - POLST

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JF - Linacre Quarterly

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The POLST paradigm and form: Facts and analysis

Abstract

Keywords

ASJC Scopus subject areas

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