Email this pageTools 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. 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 hospitals and nursing facilities in 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 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 the updated 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.
Pain Management Pocket Card – ADULT
Pain Management Pocket Card – PEDIATRIC
View other pain management tools for professionals.
The End of Life/Palliative Education Research Center (EPERC)
The End of Life/Palliative Education Research Center 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 documents patients' clinical and social history and recommendations of the Palliative Care Team at initial consult.
Attending Consultant's Summary Form is used (if needed) to expand on the team's recommendations.
Outpatients:
Palliative Care Consultation Request Form is used to refer outpatients for Palliative Care Consultations, available on Monday afternoons and Thursday mornings.
Consultation Services: 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.
