You may have heard about a new kind of health care directive in Colorado, called a Medical Orders for Scope of Treatment (MOST) form. Here, we discuss what a MOST form is and when you might need one.
What Is a MOST Form?
A MOST form is a doctor’s order that helps you keep control over medical care at the end of life. Like a Colorado CPR Directive, the form tells emergency medical personnel and other health care providers whether or not to administer cardiopulmonary resuscitation (CPR) in the event of a medical emergency. A MOST form may be used in addition to -- or instead of -- a CPR Directive. The MOST form may also provide other information about your wishes for end-of-life health care.
How to Make a MOST Form
A MOST form must be signed by a health care professional, such as doctor or a nurse practitioner. (Colorado Statutes § 15-18.7-103.) A health care professional can help you create a MOST form if you enter a medical facility or health care setting -- such as a hospital, nursing home, or hospice care in a facility or at home. If a member of the medical staff does not ask you whether you want to create a MOST form, you may ask for one.
In Colorado, a MOST form is usually printed on bright green paper so it will easily stand out in your medical records. The form travels with you if you move from one health care setting to another. You can change it or cancel it at any time.
How Does a MOST Form Differ From Other Health Care Directives?
A MOST form differs from a CPR Directive in one important way: A MOST form also includes directions about life-sustaining measures in addition to CPR, such as intubation, antibiotic use, and feeding tubes. The MOST form helps medical providers understand your wishes at a glance, but it is not a substitute for a properly prepared Advance Health Care Directive.
An Advance Directive provides more information than a MOST form, including details about your health care agent, more complete health care wishes, and your preference for organ donation. Therefore, if you have a MOST form, you do not need a CPR Directive, but you should still complete an Advance Directive to provide a full set of wishes about your care.
For details about making an Advance Directive in Colorado, see Colorado Living Wills and Medical Durable Powers of Attorney: What You Need to Know.
For More Information
To learn more, and to view an example of the Colorado MOST form, visit the Colorado Advance Directives Consortium website. To prepare a MOST form for yourself or a loved one, talk to your health care provider.