Speaker: Date: Topic
Arlene Lowney, RN, MBA
Apr. 3, 2013
An Overview of MOLST in Massachusetts
Obtaining the Powerpoint Presentation
Contact Lauren Oliva at firstname.lastname@example.org
Responsibility for Content
The take-away points and article/video links were sent by the Medical Library and the CME Committee.
Diane E. Young, Information Specialist email@example.com
Take-Away Points of the Lecture
1. All adults should sign a health care proxy form to appoint their health care agent - SPOKESPERSON to make medical decisions for them in the future, in the event they lose capacity to make decisions.
2. All adults, including young adults, should communicate their preferences to their HCP, their family and their physician(s).
3. MOLST is used voluntarily by patients with advanced illness under a clinician's care. It requires communication with physician/NP/PA.
4. MOLST forms contain current medical orders signed by a clinician. Think of it as a prescription for persons with advanced illness.
5. MOLST is "value-neutral" -- a patient can indicate wish to accept or refuse certain treatments. MOLST instructions are effective as soon as signed.
Resources for Health Professionals
1. Block, Susan: MOLST Webinar: Mass Medical Society 2011. (This site includes FAQs, the downloadable MOLST form, and training materials for health professionals.) http://www.MOLST-ma.org .
2. Block, Susan: Video (13 min). Patients, families, health professionals, and clergy sharing their thoughts and stories about MOLST. http://www.molst-ma.org/molst-stories
4. Aging with dignity: Five wishes. http://www.agingwithdignity.org .
5. Ellen Goodman; Institute for Healthcare Improvement [IHI]. http://www.theconversationproject.org .
6. Gawande, Atul: Letting Go: What should medicine do when it can't save your life? New Yorker 2010 Aug 2. http://www.newyorker.com/reporting/2010/08/02/100802fa_fact_gawande?currentPage=all
7. Gawande, Atul: How to talk end-of-life care with a dying patient. New Yorker Festival 2012. YouTube video (3 min). http://www.youtube.com/watch?v=45b2QZxDd_o
8. Hammes, Bud: Respecting choices. Gundersen Lutheran Medical. http://www.respectingchoices.org .
9. Massachusetts Expert Panel on End-of-Life Care: Patient centered care and human mortality 2010 Oct. http://www.mass.gov/hqcc/patient-centered-care-and-human-mortality-.html
10. MOLST Demonstration Program: Recommendations for statewide expansion pilot results 2011. http://www.MOLST-ma.org .
11. Volandes AE et al: Randomized controlled trial of a video decision support tool for cardiopulmonary resuscitation decision making in advanced cancer. J Clin Oncol 2013 Jan 20;31(3):380-6. http://jco.ascopubs.org.ezp-prod1.hul.harvard.edu/content/31/3/380.full.pdf+html