I'm at Liverpool University <a href="http://gddirectltd.co.uk/index.php/c39est-la-vie-cream-0ea0.pdf">la vie cream</a>  Even before having the conversation among family members, it might make sense to have a conversation with the person's primary physician, according to Amy Vandenbroucke, executive director of the National POLST Paradigm program. POLST is an acronym for "physician orders for life-sustaining treatment" &ndash; specific and legally binding medical directives designed for seriously ill patients likely to confront life-or-death medical decisions in the near future.