How To Use LaPOST

The LaPOST document, the advance directive (living will) and the power of attorney for health care each have a different purpose.  
  • The LaPOST document is recommended for patients who are seriously ill with "life-limiting disease and irreversible conditions" and whose life expectancy is less than one year.  The document is completed by the patient and his/her physician.
  • The advance directive document is the most restrictive.  It only goes into effect if the patient has lost decision making capacitiy and is terminally ill.  It is usually completed in advance of illness. 
  • All patients, particularly those nearing the end of life, are encouraged to complete a power of attorney for health care document.  This document allows a patient to designate someone he/she trusts to make decisions for him/her in any circumstance when the patient has lost the ability to make decisions. 
 Of the three forms, the LaPOST form is the one that is most likely to ensure that the patient receives the treatment that he/she wants because it is a medical order.  For seriously ill patients, it would be appropriate to complete all three documents.  Treatment preferences need to be discussed with family and health care power of attorney.