Post-Test: Massachusetts Medical Orders for Life-Sustaining Treatment (MOLST)

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Question 1 of 7

1. Question

A Medical Orders for Life-Sustaining Treatment (MOLST) document is only suitable for adult patients who are near death.

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False
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Hint

MOLST documents should be considered for patients of any age with an advanced illness including, but not limited to: life-threatening illnesses, chronic, progressive diseases, medical frailty, or any patient suitable for considering DNR orders.

Time Stamp: CH 3, 1:07- 1:23
Question 2 of 7

2. Question

Studies have shown that common barriers to pediatric palliative care and advance care discussions include:

Uncertain prognosis
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Differences between clinician & patient or parent understanding of prognosis
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The patient or parent is not ready to acknowledge an incurable condition
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Language barriers
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Time constraints
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Conflict within the family
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All of the above
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Hint

There are a number of barriers to advance care discussions, many of which result in poor communication and poor quality of care ratings.

Time Stamp: CH1, 1:48- 2:12
Question 3 of 7

3. Question

A Medical Orders for Life-Sustaining Treatment (MOLST) document is the same as a Do Not Resuscitate (DNR) order.

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Hint

MOLST is a medical order form that converts a patient’s preferences regarding life-sustaining treatment into medical orders including resuscitation, medically-indicated treatment options and transfer to the hospital.

Time Stamp: CH2, 0:13- 0:19
Question 4 of 7

4. Question

The original MOLST form stays with the patient but copies of the MOLST are valid.

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Hint

Copies of the MOLST form should be updated for all of the patient’s health care providers.

Time Stamp: CH3, 2:04- 2:09
Question 5 of 7

5. Question

The DNR order is intended to limit therapies for those that attempt to reverse a cardiopulmonary arrest, as well as other life-saving therapies.

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Hint

Studies have shown that there is substantial variability in the interpretation of a DNR order.

Time Stamp: CH1, 4:38- 4:43
Question 6 of 7

6. Question

Living Wills are legally binding in Massachusetts.

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Hint

Living wills are written documentation of a person’s preferences. They are used to guide surrogates and clinicians if a person loses capacity to make medical decisions.

Time Stamp: CH2, 1:21- 1:30
Question 7 of 7

7. Question

A MOLST form should be considered for which of the following patients:

Patients with advancing illness due to a serious medical condition
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Patients who have a DNR Order
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Patients with life-threatening illnesses
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Patients with chronic, progressive diseases
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Patients with medical frailty
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All of the above
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Hint

Remember that MOLST forms are about the advance care planning process.

Time Stamp: CH3, 1:07- 1:23