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<br /> ` ;.` _- . -��`• I appourt Thomas George S�arky whose address is Crrand�slaad,Nebreska, and :
<br /> � -' �:. - - �
<br /> whose telephone nwoaber is (308) 381-0601, as my attomey in fact for health�are. I �:;'
<br /> , aPPoi� Heriy Jaaes whose address is Grand Islaad, Nebraslsa, aad vyhose tetephone .4 , �� ; . .•. . � �'�;
<br /> ' . ; munb�r is(308)382-8199,as my saccessor attomey in fact for health care- I authorize . T _
<br /> . � . . . ` . mp attorney ia fact appoiuted bY this doca�ent to make heaith care degsions for me w hen .�<._�:_<<�.:`
<br /> . �.
<br /> te of own health care decision. Y have read We ,.��„' ;
<br /> _ .. • � I am de,teimined to be incapab making�►Y : �.�`�i:.�-,
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<br /> V of executin " �.` ,
<br /> ' warnia�which accompanies this rlocumem and undezstand the consequeuc�.s S � _ �,,:_`_
<br /> . . ° �, a gower of attorney for health care. I direct that aiy attomey in fact comply with the ` T�'��°'
<br /> � � � � �a following instncc�ions or limitations: Eiccept as oiherwise set fosrth in this document,my . . __-
<br />- attorney ia fact shall have aU rigbt on my bebalf to make deasions for providing, •..� .�:.
<br /> . s -� withhotding or withdrawing medical treamt�ent and for mat�ng any other heahh�are ..;�
<br /> -�: � �
<br />" � . de�isions�sucb consents aad directions to be given in the discretion of my attorney in fact. �.',�`'.
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<br />� � � . My attorn�y in fact s}aaU cons��tb medical personnel,including my attendiu�physic�a4 �.'���..��}--'-
<br /> _ . �;i�. �. `r``•"E"5...
<br /> . � � and ther�pon make health care decisions in accor@auce with the wishes I have expresssd . .�'i-;_ `=
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<br /> . in tius docum� or otherwise made known prior to the tune of the de�isqons. If nry � ;�;��,
<br /> . . I ._�.Jy_.,:.
<br /> � wishes regarding a heahh care question are not reasonably known and cannot with . �.
<br /> , � , reasonable ditig�acce 6e ascettainEd,die�►mY attomey in fact shall base luslher decision on °: : ''�=
<br /> . . .. , <'' < ---
<br /> ;,. � what he/she believes w be in my best u►terest. ;�;,. `� --
<br /> '�. ` _. .s���: .
<br /> � I direct tha� my attorney w faca comply aith the following instructions of : ��-,,'��.. .�=.
<br /> , :�` �.,.;.
<br /> +� .,'i���.;�.i�:
<br /> , `:';:�:� � My attorney in fact dues have aut}writy to direct or consent to ,° r;°x'�
<br /> .__ . . . __: life-sustaining tre,atment: ,_ ,.
<br /> � the withholding or withdrawing of a 1ife�sustaining ueatment if I have been determined to �_
<br /> ' � :I�'��.
<br /> • be in a temunal condition or in a persistent vegetative state. � �,.���-
<br /> I direct that my attomey ia fact comply with the foltowiag instructions on ,� '��; ���_
<br /> � arpficialiy administered m�trition and hydration: My attomey in fact does have authority . . , _.r:�
<br /> � .. to direct or consent to the withholding or withdrawing of artificially-administered nutritioa ;:` ;��-�
<br /> , . . . , and hydration if I have been determined to be in a temunal condition or in a persistern �..,�°;.� '`.� ;,-.:--
<br /> ';�i�t'� � ..�:;
<br /> � . vegetetive state. ' .. • � , �
<br /> . . . For pwposes of this documem, life-sustaining treatmeirt shail mean any medical � . -
<br /> . procedure, treaiment or urtervenrion that uses mechanicai or other arafcial means to . � .
<br /> sustain, restore, or supplant a spontaneous vital function and when apglied to a person � ��
<br />' ?�;�� � � sufferimg from a tenninal condition or who is in a persistent vegetative state,serves only to ..�,. : _. :
<br /> • . prolong the dying process. A terminal condition is an incurable and irrevers��le raedical � , :
<br /> .-: condition caused by injury, disease or physical illness wlrich, to a reasonabte degree of � . �
<br /> , raedical certainty, will result in death regardtess of the continued application of inedical .
<br /> .. � ue�ent, including life.s�staining treatmem. A persistent vegetative state is a medical . � .
<br /> _ . • 4 • .
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