Get Polst Form - Spanish Version - Upmc.com

Filling out the POLST Form is an essential step in ensuring that a person's medical wishes are recognized and respected. This guide will provide clear and user-friendly instructions on how to complete the POLST Form - Spanish Version online, addressing each component in detail.

Follow the steps to easily complete the POLST Form online.

1. Press the ‘Get Form’ button to access the POLST Form - Spanish Version and open it for editing.
2. Start by entering the last name, first name, and middle initial of the person for whom the directives apply. Ensure you also fill in their date of birth, as this information is crucial.
3. In Section A, select either 'CPR' to indicate resuscitation preferences. Choose 'DNR' if the person prefers a Do Not Resuscitate order. This section is vital and should be filled out carefully based on the individual’s medical and personal wishes.
4. Proceed to Section B, where you will need to select from the options regarding medical interventions. Choices include comfort measures only, limited additional interventions, or full treatment. Each option has specific instructions that should be carefully considered.
5. In Section C, indicate the preferences concerning artificial nutrition and hydration. Options include offering oral food and liquids, providing nutrition through a tube, or not administering artificial nutrition and hydration.
6. Section D allows you to specify the use or limitations of antibiotics in case of infections. Check the appropriate options according to the person’s wishes.
7. In the summary section, fill in who the form has been discussed with, such as the individual, their healthcare representative, or legal guardian. This promotes clarity regarding the decisions made.
8. Ensure the form is signed by the healthcare professional preparing it, along with their contact information. Both the patient (or their representative) and the healthcare provider must sign the document for it to be valid.
9. Once all sections are completed, review the document to confirm accuracy. You can then save any changes made, download the completed form, print it, or share it as needed.

Begin filling out the POLST Form - Spanish Version online today to ensure that your healthcare wishes are documented and honored.