Due to cognitive impairment, multimorbidity, and fewer family connections, nursing
home residents are at especially high risk for receiving medical care that is medically
inappropriate or inconsistent with their wishes. Therefore, Advance Care Planning
(ACP) in this setting is crucial to the provision of patient-centered care. The Transportable
Physician Orders for Patient Preferences (TPOPP) form has been developed and implemented
in Kansas and Missouri to allow patients to discuss ACP and implement orders to ensure
that their wishes are respected across the entirety of the healthcare system. Other
states have similar programs such as Physician Orders for Life Sustaining Treatment
(POLST).
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© 2017 Published by Elsevier Inc.
