Susan W. Tolle

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BACKGROUND The Physician Orders for Life-Sustaining Treatment (POLST) Paradigm Program was designed to ensure the full range of patient treatment preferences are honored throughout the health care system. Data are lacking about the use of POLST in the hospice setting. OBJECTIVE To assess use of the POLST by hospice programs, attitudes of hospice personnel(More)
OBJECTIVES To evaluate the relationship between two methods to communicate treatment preferences (Physician Orders for Life-Sustaining Treatment (POLST) program vs traditional practices) and documentation of life-sustaining treatment orders, symptom assessment and management, and use of life-sustaining treatments. DESIGN Retrospective observational cohort(More)
Many indicators suggest that care of the dying in Oregon has been improving over the past decade. However, results from a recent study suggest that one aspect of care of the dying, pain management, may be worsening. In late 1997, family reports of moderate and severe pain in dying hospitalized patients increased from 33% to 57%. This occurred during a(More)
  • Susan W Tolle, Cornelia Hayes, Stevens Chair, Barbara Glidewell, Robert, Madeline Brill +3 others
  • 2006
The generous gift of time of both lay and professional volunteers not only sustained our programs but helped us grow during lean economic times. Volunteers come from myriad professional and community experiences. Time and expertise has been donated by lawyers teaching Professionalism, Law & Ethics in the 4 th year medical student course Transition to(More)
In April 2015, Oregon Health & Science University (OHSU) deployed a web-based, electronic medical record-embedded application created by third party vendor Vynca Inc. to allow real-time education, and completion of Physician Orders for Life Sustaining Treatment (POLST). Forms are automatically linked to the Epic Systems™ electronic health record (EHR)(More)
Substantial resources have been spent to improve pain control for dying patients, and increased opioid administration has been presumed. Oregon has been a consistent leading state in per capita use for morphine for the past 10 years, as recorded by the Automation of Reports and Consolidated Orders System (ARCOS). Health policy experts, extrapolating from(More)
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