National Courses - Physician Orders for Life-Sustaining Treatment (POLST) Paradigm
 
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Respecting Choices

Physician Orders for Life-Sustaining Treatment (POLST) Paradigm

The Respecting Choices POLST Paradigm Course consists of four components

  • Online ACP Facilitator Course
  • How to Implement POLST in Your Organization or Community Webinar
  • POLST Facilitator Certification
  • POLST Instructor Certification

The course focuses on communication skills— initiating POLST conversations, assisting in making informed end-of-life decisions, and learning techniques to create POLST plans. The successful implementation of a POLST program must be complemented by professionals who have developed the necessary  communication skills to initiate advance care planning discussions that help individuals establish medical and non-medical goals of care.

The POLST system for documenting and communicating an individual’s decisions for end-of-life care as they approach the last year of life has become recognized as best practice in the care of frail elders and those living in long-term care facilities. These individuals require a different approach to ACP, in essence, a POLST ACP conversation that assists them to examine their goals of care as they enter the last stages of their lives. Life-sustaining treatment decisions must be specific and include options for hospitalization and the provision of comfort care.

POLST-trained facilitators are often social workers or nurses responsible for developing plans of care for residents of long-term care facilities, home health, or hospice. Without an emphasis on the importance of ACP discussions and qualified facilitators, implementation of the POLST form runs the risk of repeating the failures of past standard advance care planning efforts that have focused only on form completion (Teno, 1998).

POLST Facilitator Certification

The successful implementation of a POLST program must be complemented by professionals who have developed the necessary communication skills to initiate advance care planning discussions that help individuals establish medical and non-medical goals of care. Professional skills include understanding end-of-life treatment options, benefits and burdens, and building decision-making consensus among family members and the healthcare team. These skills often do not come naturally for professionals who provide individualized assistance in making difficult and challenging end-of-life decisions.

POLST Facilitator Certification is intended for nurses, intermediate and advanced level social workers, physicians, clergy, and others involved in assisting patients and residents in making end-of-life treatment decisions. The purpose of this program is to improve the effectiveness of the POLST paradigm program through facilitation skills training and RC certification.

Objectives
1. Describe the purpose of the POLST paradigm program
2. Identify skills to initiate POLST-type discussions with persons with life-limiting illness, their healthcare agents, and loved ones
3. Identify skills that assist in making informed end-of-life decisions
4. Practice POLST-type discussions in role-play exercises
5. Identify techniques to create a POLST document that accurately reflects a person’s treatment decisions

Prerequisite

  • Respecting Choices ACP online facilitator course (included in registration fee)
  • How to Implement POLST in Your Organization or Community Webinar (included in registration fee)

POLST Instructor Certification (Day 2)**

PLEASE NOTE: Instructor candidates MUST submit a signed Instructor Agreement prior to classroom training or attendance will not be permitted. The Instructor Agreement will be provided to candidates after course registration, and is available upon request.

POLST Instructor Certification is intended for healthcare educators and other professionals (nurses, social workers, clergy, physicians, and intermediate and advanced level social workers) interested in becoming certified to replicate the Respecting Choices POLST Facilitator Certification Course. The purpose of this program is to prepare participants to become certified as Respecting Choices POLST Instructors.

Objectives
1. Identify four strategies for teaching the POLST ACP Facilitator Certification Course.
2. Participate in instructor-led discussions on common questions and concerns about POLST.
3. Complete the POLST instructor certification exam.
4. Participate in role-play demonstrations with faculty and group feedback.

**Registration Requirements. To attend POLST Instructor Certification, the healthcare or community organization(s) the instructor candidate represents (or instructors themselves, if attending independently) must commit through a written agreement to replicate the standardized Respecting Choices POLST Facilitator Certification Course. Please contact Matthew Isbell at 800-362-9567, ext. 54887 or mrisbell@gundluth.org for more information.

Prerequisite

  • Respecting Choices ACP online facilitator course (included in registration fee)
  • How to Implement POLST in Your Organization and Community Webinar (included in registration fee)
  • POLST Facilitator Certification

To find out how to bring the Respecting Choices POLST Course to your facility, please contact Matthew Isbell at 800-362-9567, ext. 54887, or mrisbell@gundluth.org

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