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Q: What is IPOST (Iowa Physician Orders for Scope of Treatment)?

Posted June 04, 2014 in Adel, Advice Column

A: DNR (Do Not Resuscitate) orders only address resuscitative efforts.  IPOST orders go a step further to also address treatment choices and help ensure those treatment wishes are met across all health care settings. The IPOST form is recognized as a set of medical orders, signed by a physician, to be implemented with the same procedures as all medical orders. The form transfers with the patient and clearly identifies the level of treatment the patient wants to receive.

The IPOST form addresses — whether an individual desires resuscitation or a DNR (do not resuscitate) order — the degree of aggressiveness with regard to medical intervention that is desired by the individual (full treatment, limited treatment, comfort measures). It also addresses an individuals wishes regarding artificial nutrition (tube feeding) and hydration.

Ask your healthcare provider for an IPOST form and discuss your questions and wishes with a medical professional. The IPOST can be changed/updated at any time. If you have an IPOST, ensure it is in an accessible place so it is available in a medical emergency.

Information provided by Pam Walker, administrator, Adel Acres Skilled Nursing and Rehabilitation, 1919 Greene St., Adel, 515-993-4511.

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