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Advance Care Planning Resources for Clinicians

Provider Orders for Scope of Treatment (POST) form is used to assist patients to make their healthcare preferences clear.

POST is a mechanism to convert patient preferences for future healthcare into medical orders. POST is appropriate for individuals with serious life-limiting illness, whose death in the next year would not be a surprise. The process ensures that preferences can be known and honored in the community and across healthcare settings.

Provider Orders for Scope of Treatment (POST) information

The POST form incorporates the latest research evidence for best practices as well as feedback received from providers, Emergency Medical Services (EMS), community groups and other stakeholders. The POST form is in compliance with the National POLST paradigm guidelines.

Respecting Choices® is an internationally recognized, evidence-based model for advance care planning (ACP) consisting of a staged approach to planning (i.e., First, Next, and Last Steps). An individual’s goals, values and preferences for future healthcare change and evolve over time. The staged approach to planning is designed to meet the needs of individuals as their illness progresses or as goals and values change:

  • The Last Steps® ACP stage of planning is intended for individuals with serious life-limiting illness, terminal illness, advanced frailty or frail elders living in long-term care facilities.
  • Last Steps certified facilitators assist individuals in making informed treatment decisions that are consistent with identified goals within the context of their current medical condition.
  • Those decisions are then converted into medical orders on the POST form to allow for patient preferences to be known and honored in the community setting.

If you would like to learn more about Last Steps services or have questions related to the POST form, contact Danielle Rathke, Advance Care Planning coordinator at ext. 56000 or email darathke@gundersenhealth.org.

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