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In the US, a POLST form turns the wishes of someone who is seriously ill or very frail into signed medical orders, so emergency teams know which treatments to give or not give. It is optional and is different from an advance directive.
The National POLST Collaborative describes a POLST form as a portable medical order for patients who have a progressing serious illness or frailty due to ageing. It tells health care providers what the patient wants if they become unresponsive and what their goals of care are given their current medical condition; having one is completely optional.
POLST is distinct from an advance directive. In the Collaborative's comparison, an advance directive is a legal document for all adults that authorises someone to make decisions and states general wishes, while a POLST form is a signed medical order for anyone, regardless of age, who is seriously ill or frail, and carries more specific instructions that emergency personnel can follow. Programmes are run state by state; the Collaborative lists them.
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