Honoring a patient's wishes is an important part of providing quality end-of-life care. Medical Orders for Life-Sustaining Treatment (MOLST) is a clinical process that encourages discussion of a patient’s end of life goals with clinicians.
MOLST is intended for patients with serious health conditions who:
- Do not want to receive any or all life-sustaining treatment
- Live in a long-term care facility or require long-term care services
- May die within the next year
Under State law, the MOLST form is the only authorized form in New York State for documenting both nonhospital DNR and DNI orders. Lourdes has been using this standard state-approved form to make the discussion and the documentation easier for patients and clinicians and has now adopted a web-based version of the MOLST, the eMOLST. This electronic version makes it easier for the information to be incorporated into a patients electronic medical record (EMR) and easier for those wishes to be accessed by a patient's other medical providers.
If you believe you or a loved one will benefit from this conversation, talk to your provider to complete the form. The provider will help define the patient's goals for care, review possible treatment options and ensure the medical decision-making is informed and shared between patient and provider. The licensed physician or nurse practitioner completing the form must always: confer with the patient and/or the patient's health care agent or surrogate about the patient's diagnosis, prognosis, goals for care, treatment preferences, and consent by the appropriate decision-maker, and sign the orders derived from that discussion.
If you would like more information on the MOLST, visit the NYS Department of Health website.