Department of Geriatrics, Excellus BlueCross BlueShield, Rochester, NY, USA.
Cleve Clin J Med. 2012 Jul;79(7):457-64. doi: 10.3949/ccjm.79a.11098.
Physician Orders for Life-Sustaining Treatment (POLST) is a process that translates a patient's goals for care at the end of life into medical orders that follow the patient across care settings. POLST overcomes the limitations of traditional advance directives. It enables physicians and other health care professionals, through a conversation with a patient or surrogate, to assess and convey the wishes of patients with serious life-limiting illness who may have a life expectancy of less than 1 year, or of anyone of advanced age interested in defining his or her wishes for end-of-life care.
医生指令以延续生命治疗（POLST）是一个将患者临终关怀目标转化为医疗指令的过程，这些指令跟随患者在不同医疗环境下进行治疗。POLST 克服了传统预立指示的局限性。它使医生和其他医疗保健专业人员能够通过与患者或其代理人进行对话，评估和传达患有严重生命限制疾病且预期寿命不足 1 年的患者的意愿，或任何对定义其生命末期护理意愿感兴趣的高龄患者的意愿。
