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MOLST advisory council to clarify revocation language after discussion on in-the-moment treatment changes
Summary
Members of the state Department of Public Health's MOLST Advisory Council discussed clarifying policy language about how a patient can revoke or temporarily override a Medical Orders for Life-Sustaining Treatment (MOLST) form, and recommended documenting any in-the-moment changes in the clinical record and following up with a clinical discussion.
At an August meeting of the MOLST Advisory Council, members discussed whether the council's policies clearly distinguish between formally revoking a Medical Orders for Life-Sustaining Treatment form and a patient, while having capacity, requesting a different treatment at the time care is delivered. Barbara Cass, senior adviser to the commissioner of the Department of Public Health for long-term care, led the discussion about revising revocation language in the policies and procedures.
The difference, council members said, is procedural. Dante (staff member) described the current practice: "if you want to revoke a valid MOLST, you go back to an eligible provider ... that's how you can effectuate…
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