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So it defines unrepresented as someone who lacks decisional capacity to provide informedconsent to a particular medical treatment. Let’s say they’re in the ICU now on a ventilator. So on the clinical side, people are really focused on how long do they have to be on the ventilator and managing that.
I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. I think one of the residents you asked how would they broach a subject, and he said wording like, “Unfortunately, he still needs a ventilator.”
But I do think POLST, which I conceptualize as an advance care planning tool, really sits in between those worlds of decisions that are relevant for the present versus the few future. I don’t need a checkbox form, I don’t need to know about CPR or mechanical ventilation. That’s not unique to POLST as an order.
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