| DIALOG/PROGRESS NOTE TEXT |
You should review documents reflecting the patient's wishes that are
patient's values and preferences.
When talking with the PATIENT:\\
Review documents reflecting the patient's wishes AFTER making decisions
about life-sustaining treatments to ensure that they reflect the
patient's current values and preferences. If they do not, discuss the
discrepancy with the patient, recommend the advance directive(s)
inconsistent with the patient's preferences be rescinded, document any
rescission in the record, and discontinue and re-write state-authorized
portable orders (e.g., POLST, MOST) and/or Life-Sustaining Treatment
available in the medical record or are presented to you by the patient (or
orders so they are consistent with the patient's decisions.
surrogate). If you are provided with documents that are not found in
CPRS, arrange to have copies scanned into the patient's record.
When talking with the SURROGATE:\\
Review documents reflecting the patient's wishes BEFORE making decisions
about life-sustaining treatments. Understanding the contents of these
documents helps the surrogate make decisions that are consistent with the
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