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Avoid Potential Pitfalls of Living Wills, DNR, and POLST with Checklists, Standardization

By Ferdinando L. Mirarchi, DO, FACEP | on May 9, 2014 | 0 Comment
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Potential Pitfalls of Living Wills, DNR, and POLST

Dr. MirarchiDr. Mirarchi is medical director of the department of emergency medicine at UPMC Hamot and chair of the UPMC Hamot Physician Network in Erie, Pa.

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ACEP Now: Vol 33 – No 05 – May 2014

 

References

  1. U.S. Census Bureau. 2044 Population Estimates, Census 2000, 1990 Census. www.census.gov.
  2. Mirarchi FL. Understanding Your Living Will. Omaha, Neb: Addicus Books; 2006.
  3. U.S. Department of Veterans Affairs. Do not resuscitate (DNR) protocols within the Department of Veterans Affairs. Section 30.02. VHA Handbook. Available at: www.va.gov.
  4. AMA Code of Medical Ethics. Opinion 2.22 Do-Not-Resuscitate Orders. AMA Web site. Available at: www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion222.shtml. Accessed April 21, 2014.
  5. California Advocates for Nursing Home Reform. POLST problems and recommendations. Approved 2010. California Advocates for Nursing Home Reform Web site. Available at: www.canhr.org/reports/2010/POLST_WhitePaper.pdf. Accessed April 9, 2014.
  6. Mirarchi FL, Hite LA, Cooney TE. TRIAD I–the realistic interpretation of advanced directives. J Patient Saf. 2008;4:235-240.
  7. Mirarchi FL, Kalantzis S, Hunter D. TRIAD II: do living wills have an impact on pre-hospital life saving care? J Emerg Med. 2009;36:105-115.
  8. Mirarchi FL, Costello E, Puller J, et al. TRIAD III: nationwide assessment of living wills and DNR orders. J Emerg Med. 2012;42:511-520.
  9. National POLST Paradigm Task Force. POLST legislative guide. POLST Web site. Available at: http://www.polst.org/wp-content/uploads/2014/02/2014-02-20-POLST-Legislative-Guide-FINAL.pdf. Accessed April 9, 2014.

Pages: 1 2 3 | Single Page

Topics: Advance DirectiveCritical CareEmergency MedicineEmergency PhysicianEnd-of-LifePain and Palliative CarePalliativePatient CarePatient CommunicationPractice ManagementPractice TrendsQuality

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