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c. Incapable shall mean the inability to understand and <br />appreciate the nature and consequences of health care <br />decisions, including the benefits of, risks of, and <br />alternatives to any proposed health care or the <br />inability to communicate in any manner an informed <br />health care decision. <br />d. Life - Sustaining Procedure shall mean any medical <br />procedure, treatment, or intervention that (a) uses <br />mechanical or other artificial means to sustain, <br />restore, or supplant a spontaneous vital function and <br />(b) when applied to a person suffering from a terminal <br />condition or who is in a persistent vegetative state, <br />served only to prolong the dying process. Life - <br />sustaining procedure shall not include routine care <br />necessary to maintain patient comfort or the usual and <br />typical provision of nutrition and hydration. <br />e. Persistent Vegetative State shall mean a medical <br />condition that, to a reasonable degree of medical <br />certainty as determined in accordance with currently <br />accepted medical standards, is characterized by a total <br />and irreversible loss of consciousness and capacity for <br />cognitive interaction with the environment and no <br />reasonable hope of improvement. <br />f. Terminal Condition shall mean an incurable and <br />irreversible medical condition caused by injury, <br />disease, or physical illness which, to a reasonable <br />degree of medical certainty, will result in death <br />regardless of the continued application of medical <br />treatment including life - sustaining procedures. <br />5. INTERPRETATION AND GOVERNING LAW. This instrument is <br />to be construed and interpreted as a General Durable Power of <br />Attorney and Durable Power of Attorney for Health Care. This <br />instrument is executed and delivered in the State of Nebraska, and <br />the laws of said State shall govern all questions as to the <br />validity of this Power of Attorney and the construction of its <br />terms and provisions. <br />6. DISABILITY 'OF PRINCIPAL. This Durable General and <br />Health. Care Power of Attorney shall not be affected by my <br />disability and shall remain in full force and effect throughout <br />any period of disability. <br />1 hereby revoke any and all former Powers of Attorney and <br />Amendments thereto, if any, heretofore executed by me. <br />-4- <br />201705966 <br />201109274 <br />