PALLIATIVE CARE PARTNERSHIP

OF THE ROANOKE VALLEY

Palliative care Partnership of the Roanoke Valley

For Healthcare Professionals

In this section you will find information and resources for Healthcare Professionals:

POLST (Portable Medical Orders)

A POLST (Portable Medical Order) form is a provider signed form which communicates and implements patient preferences for end-of-life treatment and is transferable across treatment settings. It is intended that the form be completed only after advance care planning discussions between a patient and their physician or trained POLST Advance Care Planning Facilitator (ACPF). It is appropriate to complete a POLST form with people who are either terminally ill or are seriously ill with chronic, progressive disease.

For more information on how to have POLST Advance Care Planning conversations with your patients, complete and obtain the Virginia POLST form and see a sample Virginia POLST form:
POLST Form: A Portable Medical Order - Fillable PDF Obtain Virginia Post Form
National POLST Form Guidance Document
National POLST Form Guidance
National POLST Intended population guide
National POLST Paradigm Intended Population

Virginia has a uniform POLST form that is recognized by the Virginia Department of Health and endorsed by the Medical Society of Virginia. Part A of the Virginia POLST form is considered a Durable DNR order by the Code of Virginia (12 VC5-66-10).

Resources

NHPCO’s Palliative vs. Hospice Care Document
Read PDF Online: NHPCO’s Palliative vs. Hospice Care Document
Code of Virginia § 54.1-2986 - Virginia Surrogate Decision Making Hierarchy

Procedure in absence of an advance directive; procedure for advance directive without agent; no presumption; persons who may authorize health care for patients incapable of informed decisions.

Go to: Code of Virginia § 54.1-2986

Videos and Podcasts

TED Talk Dr. Aditi Sethi-Brown

Dr. Diane Meier, Defining Palliative Care

The End of Life Care Debate – Dr. Atul Gawande

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