FAQs

What is a MOST?

MOST stands for Medical Orders for Scope of Treatment. It is a document with an approach to advance care planning that effectively captures an patient’s wishes for healthcare when they are seriously ill.

When should I use the NM MOST document?

The NM MOST is not for everyone. It is for patients who are seriously ill, are very frail, or have a limited life expectancy.

Why should I use the NM MOST instead of a traditional advance directive?

The NM MOST translates care preferences to a set of medical orders that can be understood and honored across all care settings. In addition, it helps ensure that a patient receives the care they desire when they are in a facility.

How do I complete the NM MOST document?

The NM MOST should be completed during a conversation with your healthcare provider. All medical treatment comes with benefits and burdens. Your healthcare provider will be able to explain the possible outcomes of any option you choose. You, or your legally recognized healthcare decision maker (also known as a POA, durable medical power of attorney, or agent), will then be asked to sign the NM MOST. This form must also be signed by your healthcare provider (MD, DO, APN, or PA).

Can I sign the NM MOST form for my loved one?

Yes. If an individual is unable to sign their NM MOST, it can be signed by the legally recognized healthcare decision maker (also known as a POA, durable medical power of attorney, or agent). The back of the NM MOST may be used by the patient to assign a healthcare decision maker. This portion of the form may only be signed by the patient. A healthcare decision maker may not sign this back portion designating themselves or another agent without the patient’s signature.

Does a healthcare provider have to sign the NM MOST for the form to be valid?

Yes. The NM MOST must be signed by a physician (MD, DO), advanced practice nurse (APN), or physician assistant (PA) to be considered valid.

Do I need to enter information in every section of the NM MOST for the form to be valid?

No. Every section does not need to have an option chosen or have information entered in order for this document to be considered valid in New Mexico. Sections concerning artificial nutrition and hydration, with whom the directives were discussed, and the entire back page are not required fields.

Can I choose any medical intervention option in combination with my choice of resuscitation?

No. If you choose “Do Not Attempt Resuscitation/DNR”, your medical intervention options may only be “Comfort Measures” or “Limited Additional Interventions”. If you choose “Attempt Resuscitation/CPR”, your medical intervention options may only be “All Indicated Interventions” or “Limited Additional Interventions”. Choosing “DNR” with “All Indicated Interventions” or choosing “CPR” with “Comfort Measures” will invalidate your NM MOST.

Who can I contact if I have additional questions regarding the NM MOST?

Please contact Lorrie Griego, the NM MOST Executive Director, by emailing lorrie.griego@nmmost.org.