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POLST - Big Challenges Remain

Posted Feb 21 2012 11:15am
Much of the recent published literature on POLST is positive -- showing how POLST assures that the treatment patients want is the treatment patients get.  But enacting a law does not change practice.  A great deal of education and training is required.  

Take, for example, the results of a New York City and Long Island survey published in the Journal of the American Geriatrics Society.   Almost 1/2 of respondents agreed with the statement: "I would perform CPR on all patients rather than wasting time trying to find a MOLST document."  More than 1/3 said that slow codes are sometimes or frequently justified.  Nearly 1/3 were unaware that a photocopy was as valid as an original.  

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