The MOST is an advance directive document designed to help healthcare providers honor the treatment wishes of their patients with serious advanced illness. It is part of a program known as Physician Orders for Life Sustaining Treatment “POLST” which began in Oregon in 1995. Since its inception the POLST paradigm has proven successful in promoting clarity in patients’ wishes for care. As a result of this success the POLST paradigm has spread throughout the United States and several other countries with slight variations (POST, MOLST, MOST).
The MOST is a valid advance directive in NM; however, the MOST is not for every person. For the majority of patients a traditional advance directive is an appropriate tool for making future healthcare wishes known. In these situations individuals are generally unaware of what disease or medical issue they may have in the future; as a result, the advance directive can only provide general guidance, whereas the MOST allows patients with serious healthcare conditions the ability to focus their care goals in conjunction with their healthcare provider.