1481‑S AMS CRAS.006271

SHB 1481 - S AMD TO S COMM AMD (S‑4349.4/92)                006271

    BySenator Craswell

                                                  WITHDRAWN 3/5/92

    On page 5, line 3, strike all material through page 7, line r of the amendment and insert:

                     ((DIRECTIVE TO PHYSICIANS

    Directive made this ____ day of __________ (month, year).

    I __________, being of sound mind wilfully, and voluntarily make known my desire that my life shall not be artificially prolonged under the circumstances set forth below, and do hereby declare that:

    (a) If at any time I should have an incurable injury, disease, or illness certified to be a terminal condition by two physicians and where the application of life-sustaining procedures would serve only to artificially prolong the moment of my death and where my physician determines that my death is imminent whether or not life-sustaining procedures are utilized, I direct that such procedures be withheld or withdrawn, and that I be permitted to die naturally.

    (b) In the absence of my ability to give directions regarding the use of such life-sustaining procedures, it is my intention that this directive shall be honored by my family and physician(s) as the final expression of my legal right to refuse medical or surgical treatment and I accept the consequences from such refusal. 

    (c) If I have been diagnosed as pregnant and that diagnosis is known to my physician, this directive shall have no force or effect during the course of my pregnancy.

    (d) I understand the full import of this directive and I am emotionally and mentally competent to make this directive.

                                Signed............................

               City, County, and State of Residence

The declarer has been personally known to me and I believe him or her to be of sound mind.

                                 Witness..........................

                                 Witness..........................      ))

                      DIRECTIVE TO PHYSICIANS

    Directive made this ____ day of __________ (month, year).

    I __________, being of sound mind, wilfully, and voluntarily make known my desire that my life shall not be artificially prolonged under the circumstances set forth below, and do hereby declare that:

    (a) If at any time I should have an incurable injury, disease, or illness certified to be a terminal condition by two physicians, and where the application of life-sustaining procedures would serve only to artificially prolong the moment of my death and where my physician determines that my death is imminent whether or not life-sustaining procedures are utilized, I direct that such procedures be withheld or withdrawn, and that I be permitted to die naturally.

    (b) In the absence of my ability to give directions regarding the use of such life-sustaining procedures, it is my intention that this directive shall be honored by my family and physician(s) as the final expression of my legal right to refuse medical or surgical treatment and I accept the consequences from such refusal. 

    (c) If I have been diagnosed as pregnant and that diagnosis is known to my physician, this directive shall have no force or effect during the course of my pregnancy.

    (d) If I am certified to be in a terminal condition and it is determined that my death is imminent then: (Check only one, and initial)

____I DO want to receive artificially provided nutrition or hydration.

____I DO NOT want to receive artificially provided nutrition or hydration.

(e) I understand the full import of this directive and I am emotionally and mentally competent to make this directive.

(f) I understand that my chances of waking up from a persistent vegetative state are fifty-eight percent in the first three years and almost nonexistent thereafter.

(g) I am aware that removal of artificial nutrition and hydration will cause me to die of dehydration.

Signed............................

City, County, and State of Residence

The declarer has been personally known to me and I believe him or her to be of sound mind.

Witness..........................

Witness..........................      "