Factors associated with concordance between POLST orders and current treatment preferences.

ABSTRACT:

Background

POLST is widely used to document the treatment preferences of nursing facility residents as orders, but it is unknown how well previously completed POLST orders reflect current preferences (concordance) and what factors are associated with concordance.

Objectives

To describe POLST preference concordance and identify factors associated with concordance.

Design

Chart reviews to document existing POLST orders and interviews to elicit current treatment preferences.

Setting

POLST-using nursing facilities (n = 29) in Indiana.

Participants

Nursing facility residents (n = 123) and surrogates of residents without decisional capacity (n = 152).

Measurements

Concordance was determined by comparing existing POLST orders for resuscitation, medical i

SUBMITTER: Hickman SE 

PROVIDER: S-EPMC8292991 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature