A comparison of methods to communicate treatment preferences in nursing facilities

Traditional practices versus the physician orders for life-sustaining treatment program

Susan E. Hickman, Christine A. Nelson, Nancy A. Perrin, Alvin H. Moss, Bernard J. Hammes, Susan Tolle

Research output: Contribution to journalArticle

122 Citations (Scopus)

Abstract

OBJECTIVES: To evaluate the relationship between two methods to communicate treatment preferences (Physician Orders for Life-Sustaining Treatment (POLST) program vs traditional practices) and documentation of life-sustaining treatment orders, symptom assessment and management, and use of life-sustaining treatments. DESIGN: Retrospective observational cohort study conducted between June 2006 and April 2007. SETTING: A stratified, random sample of 90 Medicaid-eligible nursing facilities in Oregon, Wisconsin, and West Virginia. PARTICIPANTS: One thousand seven hundred eleven living and deceased nursing facility residents aged 65 and older with a minimum 60-day stay. MEASUREMENTS: Life-sustaining treatment orders; pain, shortness of breath, and related treatments over a 7-day period; and use of life-sustaining treatments over a 60-day period. RESULTS: Residents with POLST forms were more likely to have orders about life-sustaining treatment preferences beyond cardiopulmonary resuscitation than residents without (98.0% vs 16.1%, P

Original languageEnglish (US)
Pages (from-to)1241-1248
Number of pages8
JournalJournal of the American Geriatrics Society
Volume58
Issue number7
DOIs
StatePublished - Jul 2010

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Nursing
Physicians
Therapeutics
Symptom Assessment
Cardiopulmonary Resuscitation
Medicaid
Documentation
Dyspnea
Observational Studies
Cohort Studies
Pain

Keywords

  • do not hospitalize
  • do not resuscitate
  • end-of-life
  • ethics
  • nursing facility

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

A comparison of methods to communicate treatment preferences in nursing facilities : Traditional practices versus the physician orders for life-sustaining treatment program. / Hickman, Susan E.; Nelson, Christine A.; Perrin, Nancy A.; Moss, Alvin H.; Hammes, Bernard J.; Tolle, Susan.

In: Journal of the American Geriatrics Society, Vol. 58, No. 7, 07.2010, p. 1241-1248.

Research output: Contribution to journalArticle

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