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Original Question

I WANT A RESPONSE TO THIS DISCUSSION BOARD ASSIGNMENT. What is the topic of the policy brief? Briefly summarize the content outlined. The topic of this brief focuses on Provider Orders for Life-Sustaining Treatment (POLST) form. The (POLST) form is a standardized medical order that is set in placed by the patient’s provider and patient that provides written documentation of the patients end of life wishes (2024). It provides information for healthcare providers including EMS on what end of life care or life sustaining treatments the patient would like. The (POLST) form was started in Oregon in 1995 and has since been updated and used throughout the United States in various forms or names but following the same premises as the original form. Why is the policy brief important? What is the impact? This policy is very important in healthcare because it ensures that the patient is receiving the end of life care that they are requesting. The (POLST) form is clear in what the patient has requested and alleviates the confusion on what care to give patients. The (POLST) allows a continuity of care across all types of healthcare from EMS to ER to long term care. The (POLST) has several impacts on healthcare. It allows the patient, family, and caregivers to have open conversations about their desired care and most importantly gives clear instructions for family on the patients wishes. This is very important because it can alleviate the stress on family having to make end of life decisions or causing conflicts between family members when deciding what to do with a patient’s care. Politically there (POLST) has been adopted by 43 states and has set many policies into effect on how to manage end of life care for patients. Ethically it provides autonomy to the patient allowing them to be part of their end of life care plans. What interventions are suggested to improve the issue? Are the suggestions for improvement research based? Why is research important in developing health policy? The brief suggests that creating policy changes that allow NP signatures to be more widely accepted. This is important in todays healthcare due to many facilities now have multiple NP on staff alleviating the patient load of doctors. With the ever-increasing number of patients being seen doctors are having a hard time being able to see all patients and NP’s are used more but not allowing NP’s to sign the (POLST) form creates issues for the patient and the patient load of the doctor needing to see a patient who already is seen by a NP but now needs to be seen again to obtain a signature. Another issue found with (POLST) is that many patients receive care that is above the measures they have requested (Vranas et al., 2021). This causes increased costs for the patient and family along with increased costs to the hospital along with patients receiving care they may not want. Researching the inconsistencies with treatments not requested and how this can be combated is needed so policies can be put in place to limit the type of treatments ordered. How can improving the issue affect delivery of financing and services? Improving the (POLST) and allowing its use in all states would ensure that the patients wishes are met. Being able to meet the patients needs and not provide unwanted care or interventions will help reduce hospital readmissions and also unnecessary interventions that are costly to not only the patient but also the facilities. In recent years 350 billion dollars have been spent on end-of-life care for patients who had POLST forms but were not followed either because of family requests or services provided above the patients request (Mirarchi et al., 2023). Services can be affected for (POLST) patients with better education for healthcare providers on the different portions of the orders and what types of treatments are provided with the patients requests. Family education is also a major factor in (POLST) care. Healthcare providers giving proper education to family members on the patients request can also help decrease unwanted services.

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