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Living will

Your wishes should you be unable to speak for yourself

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List all your assets and how to locate and access them. Remember to include passwords and access codes

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Living will

Optional clauses to add to your living will

A living Will is an advance directive or declaration representing a patient’s wish to refuse any medical treatment and attention in the form of being kept alive by any artificial means when a patient cannot express a view or is (non-compos mentis).

At present there is no laws regarding enforceability and validity of a living Will and therefore act as a guideline to assist doctors when confronted with a situation in which a decision needs to be made. Doctors need to be very careful when confronted by a living will and need to follow the principles of the World Medical Association’s declaration on terminal illness, most importantly the withholding of treatment as directed by a patient does not free the doctor from his obligation to assist the patient in every way possible, including and not limited to the relief of pain and suffering.

The drafting of a living will be the patient’s responsibility, it is advisable however for a patient to discuss the directive with a medical professional.

It is the responsibility of the patient to ensure the Living Will is known to exist to the family and where they can access it should the need arise. It is also advisable to review the living will regularly and accordance with life circumstances.

No secondary support

If there is no reasonable prospect of my recovery from physical illness or impairment expected to cause me severe distress or to render me incapable of rational existence, I do not give my consent to be kept alive by means of a Secondary support system, including by way of a pacemaker.

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Life Support Machines

I, the undersigned, hereby confirm that it is my wish that should I be declared brain dead or if for any other medical reason, I am dependent on a life support machine as the sole means of being kept alive and that there is medical confirmation that there is reasonable expectation of recovery, I request that my life under no circumstances be prolonged by such machine or machines.

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Do not resuscitate

I, the undersigned, hereby confirm that it is my wish that no health care provider do cardiopulmonary resuscitation (CPR) if my breathing stops or if my heart stops beating – DO NOT RESUSCITATE.

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Organ Donation

I, the undersigned hereby donate my organs for transplanting purposes.

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Cremation

I, the undersigned hereby confirm that it is my wish that my mortal remains be cremated.

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Tube Feeding

I, the undersigned hereby confirm that I do not give my consent to any form of tube-feeding when I am dying.

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Pain Free

I, the undersigned hereby request that I receive whatever quantity of drugs and intravenous fluids as my be required to keep me free from pain or distress even if the moment of death is hastened.

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Burial

I, the undersigned hereby request that a normal funeral be conducted.

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Other

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