201904040 - Laserfiche WebLink

Browse

��K��K��K� ��m�� hospice or home care, to summon paramedics or other emergency medical personnel and seek emergency treatment |nr x'o, as my ai/ney in [ac| shall deem appropriate; and wide] circumstances in which my attorney in fact determines that certain medical procedures, tests or treatments ace no lunger of any benefit Lo me or, where Lhe benefits are outweighed by the burdens imposed, to revoke, withdraw, modify or change consent to such procedures, tests and treatments, as well as hospitalization, convalescent care, hospice or home care which I o/ my attorney in fact may have previously allowed or consented to or which may have been implied due to emergency conditions. My attorney in tact's decisions should be guided by taking into account (1) the provisions o[ this document; (2) any reiiabIe evidence of preferences that I may have expressed on the subject, whether before or after the execution of this document; (3) what my attorney in fact believes Z would want done in circumstances if I were able to express myseLt; and (4) any information given to my attorney in fact by Lhc physicians treating me as to my medical diagnosis and prognosis and the intrusiveness, pain, risks and side eltccts associated with the treatment. The authority gcanted herein specifically includes the authority to direct the withholding or withdrawal of Life-sustaining treatment and artificially administered nutrition and hydration. 4. Exercise and Protect My Rights. To exercise my right of privacy and my right: to make decisions regarding my medical treatment oven though the exercise o[ my rights might hasten the moment of my death or be against conventional medical advice. To exercise my right to change the location of my medical care and to have me moved to another medical facility or location in order to carry out my wishes or intentions concerning medical care and the termination of life-sustaining procedures. 5. Authorize Relief From Pain. To consent to and arrange for the administration of pain -relieving drugs of any kind or other surgical or medical procedures calculated Lu relive my Dain, including unconventional pain - relieving drugs o| any kind or other surgical or medical procedures ca\m|*�ed to relieve my pain, including unconneniiuoa1 pain -relief Lhetapies which my attorney in tact_ ho|ievms may be helpful, eVsn though such drugs or procedoros may have adverse side e[[ecis, may cause rid :Lioo, ,c may hasLan ihn mmnent ( (hilt_ not intentionally cause) my death.