Medical orders for life-sustaining treatment (MOLST); Medical orders for scope of treatment (MOST); Physician orders for life-sustaining treatment (POLST); Physician orders for scope of treatment (POST); POLST paradigm program (PPP); Portable medical orders for life-sustaining treatment (POLST); Provider orders for life-sustaining treatment (POLST) Definition Advance Care Planning Advance care planning (ACP) is a communication process that aims to help an individual plan for future medical care if the person is unable to make his or her own medical decisions. An estimated 45-70% of older adults facing end-oflife (EOL) treatment decisions are incapable of making those decisions themselves (Institute of Medicine [IOM] 2014). ACP helps an individual prepare for a sudden unexpected illness or injury, from which the person may recover, as well as the dying process and ultimately death. The goal of ACP is to ensure that individuals receive care consistent with their expressed preferences during serious and chronic illnesses (Sudore et al. 2017). An additional goal of ACP is to ensure the desired care will help the person live well as death approaches and die in their preferred setting. ACP applies to all adults 18 years of age and older. ACP empowers a person to authorize a trusted individual to make future health decisions if and only if the person cannot do so and to share personal values, beliefs, and what matters most ahead of time. Advance directives (AD) are legal documents completed at the end of the ACP process that outline a plan for future care in the event a person loses the ability to make medical decisions, like the healthcare proxy (HCP) or durable power of attorney for health care (DPAHC) and the living will (LW). Medical Orders at the End of Life Medical orders at the end of life are patient-centered decisions that outline current patient preferences for cardiopulmonary resuscitation in the event of cardiac and/or pulmonary arrest as well as preferences in the event of cardiac and/or pulmonary insufficiency, including but not limited to ventilator support, hospitalization, artificial hydration and nutrition, antibiotics, dialysis, blood transfusions, etc. Creation of a set of medical orders is based on a thoughtful discussion and/or series of discussions with the seriously ill