AMDCP Credit Designation: This session has been approved for a total of 1.5 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
The American Medical Directors Association designates this educational activity fora maximum of 1.5 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Presenter(s): James Mittelberger, MD, MPH,CMD; Judith Black, MD, MHA; Sally Denton, MHA; Terri Schmidt, MD, MS Disclosure(s): All presenters reported they had no relevant financial relationships to disclose. Session Description: The POLST program for physician orders for life sustaining treatments is an effective, evidence-based program that is rapidly being implemented across the United States to improve respect for patient wishes.This session presents a comprehensive introduction to the innovative POLST program. Several experts also present and discuss approaches to overcoming barriers to implementation in skilled nursing facilities based on their experiences across the United States. Attendees are given tools to lead this innovation in their own facility and community. Learning Objectives:
Describe problems with orders for life sustaining procedures in manysettings across the UnitedStates
Discuss the components of the POLST system and the rationale for them
Use an existing array of tools to implement POLST in their communityand skilled nursing facility
Prepared to serve as leaders for POLST implementation in their community and skilled nursing facility
References: Hickman SE, Tolle SW et al (2004) Use of the POLST (PhysicianOrders for Life Sustaining Treatment)program in Oregon nursing facilities: beyondresuscitation status, J Amer Geriat Soc, 52, 1424-1429. Tolle SW, Tilden VP et al (1998) A prospective study of theefficacy of the Phhysicians Order for Life Sustaining Treatments (POLST), JAmer Geriat Soc, 46, 1097-1102.