Advance Directives
- PMID: 29083680
- Bookshelf ID: NBK459133
Advance Directives
Excerpt
Advance directives are legal documents that outline an individual's preferences regarding major medical decisions. These directives specify the healthcare options that an individual desires or rejects, currently and in the future. In addition, advance directives designate one or more individuals who will act as spokespersons on behalf of the patient if they become unable to communicate their preferences. There are variations in advance directive laws from state to state. Several states have implemented specific forms of advance directives, such as Physician Orders for Life-Sustaining Treatment (POLST), Medical Orders for Life-Sustaining Treatment (MOLST), Medical Orders for Scope of Treatment (MOST), Physician Orders for Scope of Treatment (POST), Do-Not-Resuscitate (DNR) Order/Clinician Orders for Life-Sustaining Treatment (COLST), Transportable Physician Orders for Patient Preferences (TPOPP), or similar directives have been introduced. These forms condense the essential elements of an advance directive into a medical order format. To maintain brevity, the term "POLST" will be applied to encompass all the variations above in the remainder of this article.
Copyright © 2025, StatPearls Publishing LLC.
Conflict of interest statement
Sections
References
-
- Winkler EC. Do Researchers in Empirical Ethics Studies Have a Duty to Act Upon their Findings? Case Study in End-of-Life Decision Making. J Empir Res Hum Res Ethics. 2019 Dec;14(5):438-440. - PubMed
-
- Kollisch DO, Santulli RB, Bernat JL. The Limits of Advance Directives in Maintaining Autonomy in Patients with Advanced Dementia. Am J Med. 2021 Aug;134(8):963-967. - PubMed
-
- Newton MJ. Precedent autonomy: life-sustaining intervention and the demented patient. Camb Q Healthc Ethics. 1999 Spring;8(2):189-99. - PubMed
-
- Moaed B, Mordechai O, Weyl Ben-Arush M, Tamir S, Ofir R, Postovsky S. Factors Influencing Do-Not-Resuscitate Status in Children During Last Month of Life: Single Institution Experience. J Pediatr Hematol Oncol. 2019 May;41(4):e201-e205. - PubMed
Publication types
LinkOut - more resources
Full Text Sources