Palliative Care
Clinical Tools for Medical Professionals
Medical Orders for Life-Sustaining Treatment
Medical Orders for Life-Sustaining Treatment (MOLST) is a document designed to help health care providers honor the treatment wishes of their patients. This document:
- Summarizes a patient’s current treatment preferences with regard to:
- Do-Not-Resuscitate (DNR)
- Do-Not-Intubate (DNI)
- Future hospitalization
- Feeding tube
- Other treatment preferences
- Centralizes information on these issues
- Facilitates record keeping
- Ensures transfer of appropriate information between health care providers and between health care settings
The MOLST form does not replace advance directive documents (see below). The MOLST characterizes a patient's current treatment preferences, whereas an advance directive helps guide medical decision-making if patients lose the ability to speak for themselves in the future.
All of the acute care hospitals in Rochester and many of the hospitals and nursing facilities in Western New York State are now using the MOLST, which has been formally recognized by the New York State Department of Health. In addition to its widespread use, on a trial basis in Monroe and Onondaga Counties, the MOLST can now serve as a substitute for the non-hospital DNR form. This allows the orders and limitations to be completed once and reviewed/updated as necessary to remain in effect when a person changes medical facilities or if his or her preferences change in the future.
To learn more, see MOLST Frequently Asked Questions (FAQs).
Still have questions about the use of the MOLST at Strong Memorial Hospital? See Facts and Misconceptions about the new MOLST forms.
Pain Management Pocket Card
Most health care providers throughout the hospital
and Rochester community have been trained in the World Health Organization
(WHO) pain
standards. We are committed to comprehensive pain assessment and
treatment for patients experiencing moderate to severe pain. As
part of that commitment, we have worked with experts in palliative
care and pain management to create convenient and age-specific pocket cards—one for children and one for adults—with prescribing
principles and guidance about medication dosage.
The End of Life/Palliative Education Research Center (EPERC) seeks to advance End of Life Care through an online community of educational scholars and clinicians, providing easy access to many resources. Fast Facts & Concepts are peer reviewed, one-page outlines of key information on important end-of-life topics.
Palliative Care Program at the University of Rochester Medical Center:
Inpatients:
Health Database Form used to document patients' clinical and social history and recommendations of the Palliative Care Team at initial consult
Attending Consultant's Summary Form used if needed to expand on the recommendations
Outpatients:
Palliative Care Consultation Request Form used to refer outpatients for Palliative Care Consultations, available on Monday afternoons and Thursday mornings
Consultations: Drs.Tim Quill, Jeff Allen, David Korones and Michelle Carpenter offer consultation for outpatients. Please call the Palliative Care office at ( 585) 273-1154 to refer patients. We look forward to helping your patients maximize the quality of their lives while they are simultaneously receiving the best possible treatment of their diseases.
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