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June 14, 2021

Please provide direction on whether the Advanced Directive Limited Care condition should be included based on the following document that is scanned into our medical record labeled as Living Will with the following excerpts. TO MY FAMILY, MY PHYSICIAN, MY LAWYER, MY MINISTER, TO ANY MEDICAL FACILITY IN WHOSE CARE I HAPPEN TO BE, TO ANY INDIVIDUAL WHO MAY BECOME RESPONSIBLE FOR MY HEALTH, WELFARE OR AFFAIRS:If the time comes when I, patient X, can no longer take part in decisions for my own future, let this statement stand as an expression of my wishes, while I am still of sound mind. If the situation should arise in which there is no reasonable expectation of my recovery from physician or mental disability, I request that I be allowed to die and not be kept alive by artificial means or “heroic measures.” I, therefore, ask that medication be mercifully administered to me to alleviate suffering even though this may hasten the moment of death.

Yes, your example would meet Advanced Directive assuming it was either on the patient’s person on arrival, or already on file with your hospital. It must be a written request (not verbal), limiting life-sustaining therapy, and present on arrival or prior. The NTDB has listed Living Will has one example of an Advanced Directive; other examples include Healthcare Power of Attorney, DNR. With your example being labeled Living Will and noting that they are specifically requesting not to be kept alive by artificial means or “heroic measures”, it would qualify.

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