ABCDE’s of the Living Will, DNR or POLST– Medical Provider A - Ask the patient or surrogate to...
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ABCDE’s of the Living Will, DNR or POLST– Medical Provider • A - Ask the patient or surrogate to be clear as to their intentions of their advance directive (Living Will, DNR order or POLST form). • B – Be clear as to if this is a terminal condition despite sound medical treatment, PVS vs. a treatable critical illness. • C – Communicate clearly if you feel the condition is reversible and treatable with a good or poor prognostic outcome. • D - Design a plan & discuss next steps. For example, your mom is critically ill. We can give her a trial of instituting life- sustaining care for 48 to 72 hours and if there is no benefit we can withdraw care and treatment. • E - Explain that it’s ok to withhold care and treatment or withdraw care so long as it’s in keeping with the patients perceived wishes. Mirarchi,FL. Understanding Your Living, Addicus Books 2006 Will © Mirarchi
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Transcript of ABCDE’s of the Living Will, DNR or POLST– Medical Provider A - Ask the patient or surrogate to...
ABCDE’s of the Living Will, DNR or POLST– Medical Provider
• A - Ask the patient or surrogate to be clear as to their intentions of their advance directive (Living Will, DNR order or POLST
form).
• B – Be clear as to if this is a terminal condition despite sound medical treatment, PVS vs. a treatable critical illness.
• C – Communicate clearly if you feel the condition is reversible and treatable with a good or poor prognostic outcome.
• D - Design a plan & discuss next steps. For example, your mom is critically ill. We can give her a trial of instituting life-
sustaining care for 48 to 72 hours and if there is no benefit we can withdraw care and treatment.
• E - Explain that it’s ok to withhold care and treatment or withdraw care so long as it’s in keeping with the patients perceived wishes. Also, take a moment to “Explain” the benefits of Palliative Care & Hospice.
Mirarchi,FL. Understanding Your Living, Addicus Books 2006 Will© Mirarchi
ABCDE’s of the Living Will, DNR or POLST- Layperson
• A - Announce to the medical provider that you have a Living Will or DNR order
• B – Be clear with the medical provider what your intentions are regarding treatment in the face of such a document or order
• Do you seek aggressive treatment or comfort care• Be clear to ascertain if this is a terminal conditional despite sound medical treatment vs.
a critical illness .• Be clear to ascertain possible prognostic outcomes.
• C – Communicate & coordinate with family members involved to ensure all are on the same page with the treatment plan.
• D - Discuss next steps – What do we do next for Mom? • For example my mom is critically ill. Can we give her a trial of instituting life-sustaining
care for 48 to 72 hours. If there is no benefit we can withdraw care and treatment.
• E - Explore the benefits of Palliative Care and Hospice – If it is your decision not to pursue aggressive care, or you are considering withdrawing care
Mirarchi,FL. Understanding Your Living , Addicus Books 2006Will
Resuscitation Pause = Conversation Medical Layperson
