07. February 2014 · Comments Off on PASCON and NCH Roll Out MOLST Program · Categories: News, Planning

Massachusetts Orders For Life-Sustaining Treatment (MOLST)

A new state initiative is being rolled out in 2014 to ensure that people of any age who have a life-threatening medical condition, illness or injury can make their own choices about end-of-life medical care.

Massachusetts Medical Orders for Life-Sustaining Treatment, or MOLST, are written instructions from a physician to other health care providers regarding a patient’s medical care. They outline the types of emergency medical treatments a patient wants, or does not want, to be administered to keep them alive near the end of their life. These forms, which are voluntary, can be used by a person of any age who has a serious medical condition from which they may not recover to ensure their own preferences are honored by all health care providers. Unlike written “final wishes” or a living will, MOLST forms carry greater authority and will be honored by Massachusetts medical facilities. They also differ from “Do Not Resuscitate” (DNR) orders by providing additional instructions regarding medical care. MOLST forms can be changed or voided at any time.

Nantucket Cottage Hospital and Palliative & Supportive Care of Nantucket (PASCON) are working to educate patients, clinicians and caregivers about the MOLST program. Anyone with an advanced illness or injury should start discussions about advance care planning with their clinicians. The MOLST forms, which are bright pink, are filled out by a patient and their clinician, and should be kept by the patient in a location that is easy to locate, such as a refrigerator or bedside table. They should also be carried with the patient outside their home.

What are life-sustaining treatments?

These are medical treatments used to restart a person’s heart or breathing if they stop, such as:

• Cardio pulmonary resuscitation (CPR), such as mouth-to-mouth breathing, forceful pressure or electric shock to the chest. Many health care providers are legally required to use CPR if a patient’s heart or breath stops, unless they have written orders with other instructions from a doctor, such as MOLST form.

• Intubation and Ventilation, when a tube is put down a person’s throat and attached to a machine that pumps air into and out of the person’s lungs.

MOLST forms will provide EMT’s, health care facilities and clinicians with specific medical orders regarding treatments that are to be used or not to be used to start a person’s heart or breathing in the event they stop.

If you have questions about MOLST and end-of-life care, please contact PASCON at 508-825-8325. Additional information about MOLST is available at www.molst-ma.org.

27. September 2013 · Comments Off on New Resource Available for People With Cancer · Categories: News, Planning

WASHINGTON – (Sept. 25, 2013) – The Cancer Support Community and a group of 18 partnering cancer and patient advocacy organizations launched today the Cancer Insurance Checklist, a new resource to help people with cancer, a history of cancer, or at risk for cancer choose insurance plans in the new state-based Health Insurance Marketplaces opening on October 1st.

The Cancer Insurance Checklist guides consumers to review the coverage within each insurance plan they are considering, including coverage for services provided by their health care team, where care is delivered, medications and various common cancer treatments and services they may need. The Checklist also provides a worksheet to help the consumer detail the costs associated with each plan. The Checklist is designed to be used while evaluating insurance plans and also when discussing them with a navigator or health care provider.

“When the Marketplaces open in October, we expect that hundreds of thousands of people touched by cancer will begin exploring their options for purchasing health insurance coverage,” said Kim Thiboldeaux, President and CEO of the Cancer Support Community. “It is important to ensure that people understand the coverage for cancer-related health services so that they can make educated decisions based on their health needs and their budgets.”

People with cancer concerns can download and print the Cancer Insurance Checklist free of charge by visiting CancerInsuranceChecklist.org. There, they will also find a comprehensive list of additional resources including a full glossary of terms relevant to insurance coverage decisions.

The Cancer Insurance Checklist was created through a partnership of the following organizations: The Assistance Fund, Association of Community Cancer Centers, Avalere Health, Cancer Support Community, Chronic Disease Fund, Cutaneous Lymphoma Foundation, International Myeloma Foundation, The Leukemia & Lymphoma Society, Living Beyond Breast Cancer, Lung Cancer Alliance, Melanoma Research Foundation, Men’s Health Network, National Coalition for Cancer Survivorship, National Patient Advocate Foundation, Oncology Nursing Society, Ovarian Cancer National Alliance, Patient Advocate Foundation, Patient Services, Inc. and Prevent Cancer Foundation. Production costs for the Cancer Insurance Checklist were supported by a grant from Novartis Oncology.

“CSC is honored to work with such an esteemed group of our colleagues on this important project to deliver meaningful information to so many during this time of complex decision-making,” said Linda House, Executive Vice President, External Affairs for the Cancer Support Community. “In addition to the valuable resources offered by each organization, this combined effort ensures that we will reach even more people in need of support, education and tools to help navigate their cancer journey.”

About the Cancer Support Community
The mission of the Cancer Support Community (CSC) is to ensure that all people impacted by cancer are empowered by knowledge, strengthened by action, and sustained by community. In 2009, The Wellness Community and Gilda’s Club joined forces to become the Cancer Support Community. The combined organization, with more than 50 years of collective experience, provides the highest quality social and emotional support for people impacted by cancer through a network of over 50 licensed affiliates, more than 100 satellite locations and a vibrant online community, touching more than one million people each year.

Backed by evidence that the best cancer care includes social and emotional support, the Cancer Support Community offers these services free of charge to men, women and children with any type or stage of cancer and to their loved ones. As the largest, professionally led nonprofit network of cancer support worldwide, the Cancer Support Community delivers a comprehensive menu of personalized and essential services including support groups, educational workshops, exercise, art and nutrition classes and social activities for the entire family. In 2012, CSC delivered more than $40 million in free services to patients and families. The Cancer Support Community is advancing the innovations that are becoming the standard in complete cancer care. So that no one faces cancer alone.®

For more information, please visit www.cancersupportcommunity.org.

26. March 2012 · Comments Off on National Healthcare Decisions Day is April 16th! · Categories: Planning

Join Americans across the country in making your healthcare decisions known to your family, friends, and healthcare providers!
Share your wishes and complete your advance directive – because YOUR DECISIONS MATTER!

For information about advance directives, call Palliative & Supportive Care of Nantucket at (508) 825-8325 or email pascon@partners.org.
You can also check on our website or the following websites which have useful information: www.caringinfo.org and www.healthcareproxy.org.

Funded by the Palliative & Supportive Care of Nantucket Foundation, the Palliative & Supportive Care Program is operated as a department of the Nantucket Cottage Hospital, which is an affiliate of Massachusetts General Hospital, and a member of Partners HealthCare. Palliative & Supportive Care of Nantucket is a specialized health care program dedicated to providing excellent physical, psychological, social, and spiritual care to persons with life-threatening illness and their families.

A Partnership in Caring

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