Once you understand what a POLST is and why it matters, the next step is learning how to speak up for yourself. Advocacy is not about being demanding. It is about being clear, prepared, and willing to take an active role in your own care. Many people hesitate to bring up a POLST because they worry it will be uncomfortable or that it signals something negative. In reality, asking for a POLST is one of the most practical and empowering steps you can take.
This guide explains how to approach the conversation, how to ask for what you need, and how to recognize the right moment to bring it up.
Why Advocacy Is Essential
Your healthcare team wants to honor your wishes, but they can only do that if they know what those wishes are. A POLST reflects your values, but it requires your voice. Advocacy ensures that your care aligns with your goals and that your loved ones are not left guessing during stressful moments.
Advocacy is not about confrontation. It is about clarity. When you speak up, you help your care team understand what matters most to you.
When to Bring Up a POLST
There is no single correct moment to ask for a POLST. Instead, there are several natural opportunities where the conversation fits easily and makes sense.
During a routine appointment
You do not need a crisis to start the conversation. A regular checkup is often the most comfortable time to discuss your preferences.
When you are managing a serious or chronic condition
If your health requires ongoing treatment or affects your daily life, a POLST can help ensure your care reflects your goals.
After a major change in your health
A new diagnosis, a hospitalization, or a shift in your overall condition is a natural moment to revisit your wishes.
When you want clarity for yourself and your family
Even if you feel stable, you may simply want your preferences documented. That is a valid and important reason to ask.
How to Ask for a POLST
You do not need special language or medical expertise. What matters is being direct and honest about your goals. Here are practical ways to start the conversation.
Start with a simple statement
You can say:
“I want to make sure my medical preferences are documented. Can we talk about completing a POLST?”
Share your motivation
Explaining why you want a POLST helps your provider understand your priorities. For example:
“I want my family to feel confident about my wishes if there is ever an emergency.”
Ask for guidance
Your healthcare professional can walk you through the form. You can say:
“I would like help understanding the options on the POLST so I can make informed choices.”
Bring someone with you
If you want support, invite a family member or friend to join the conversation. Their presence can help you feel grounded and confident.
Take your time
You do not need to complete the form immediately. You can say:
“I would like to review this and talk again at my next appointment.”
What Happens After You Ask
Your healthcare professional will review the form with you, answer questions, and help you understand the choices. Once completed, the POLST becomes part of your medical record and should be kept somewhere accessible. You can update it at any time if your preferences change.
The Heart of Advocacy
Advocacy is not about expecting the worst. It is about choosing clarity, protecting your voice, and ensuring your care reflects your values. Asking for a POLST is a simple step that can make a meaningful difference for you and the people who care about you.
