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201904040
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Last modified
12/9/2019 6:11:29 PM
Creation date
7/12/2019 3:51:58 PM
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DEEDS
Inst Number
201904040
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201904040 <br />q. Notwithstanding t ( e foregoing, 1 do hot wish to receive <br />treatment which will not improve my living conditions OL my <br />health. I only ,Jafrl. 1 including 1 i fe .:kuSl air Ing <br />treatment, that offoro benefits to me greater_ than the burdens it <br />will impose. lrr making this decision, my co-atLorieys in fact <br />should consider whether the treatment: will relieve suffering OE <br />improve my prognosis, the intrusiveness of the treatment, the <br />risks and side < ffec:ts it involves, whether it will extend my <br />1 i fe arid, if so, what. quality of life or enjoyment of life I will <br />he able to have thereafter. <br />h. <br />Notwithstanding the powers given my co -attorneys in <br />fact herein, my co -attorneys in fact shall follow any other <br />subsequent instructions, oral or written, that I may give my co - <br />attorneys in fact while t am competent:. <br />I. <br />To l h extent that I am permitted by law to do so, I <br />hereby nominate my co -attorneys in fact: or either.- one of them to <br />serve as my guardian, and if I am not permitted by law to so <br />nominate my guardian, then I request in the strongest possible <br />terms that any Court of competent jurisdiction which may receive <br />and be asked to act upon a petition by any person to appoint a <br />guardian for me give the greatest possible weight Lo this <br />request_. <br />INSTRUCTIONS TO PHYSICIAN WITH REGARD TO <br />THE USE OF LIFE SUPPORT SYSTEMS <br />14. I direct that my co -attorneys in fact comply with the <br />following instructions (as well as any other instructions <br />contained in this document) on life-sustaining treatment and <br />artificially administered nutrition and hydration: <br />A. I wish Lo live and enjoy life as long as possible. <br />However, I do not wish to receive medical treatment which will <br />only postpone the moment c,f my death from an incurable and <br />terminal condition or prolong an irreversible coma. For the <br />purposes o.[ this document, (1) "terminal condition" shall refer <br />to a condition that is reasonably expected Lo result in my death <br />within twelve (12) months regardless of the treatment that I may <br />receive; and (2) "irreversible coma" shall refer to a permanent <br />loss of consciousness from which there is no reasonable <br />possibility that 1 will return to a cognitive and sapient life, <br />and shall include but not be limited to r persistent vegetative <br />state. 'Therefore, if two (2) physicians (neither of whom is <br />related to me and each of whom is lawfully qualified to practice <br />medicine and is familiar wi1:1 my condition) have diagnosed and <br />noted in my medical records that: <br />1. I yarn unable Lu give informed consent to medical <br />
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