I, Muni, England, being of sound mind and over the age of 19 years, make this Advance Decision fully understanding the consequences of my action in doing so. I intend this Advance Decision to be read by my health care providers, family and friends as a true reflection of my wishes and instructions should I become incapacitated and unable to communicate such wishes and instructions.
A. DEFINITIONS
As used in this document:
“Health Care Provider” means any person licensed, certified or otherwise authorised by law to administer health care in the ordinary course of business or practice of a profession.
“Terminal Condition” means a condition caused by injury, disease or illness from which there is no reasonable medical probability of recovery and which, without treatment, can be expected to cause death.
“Persistently Unconscious” means being in a profound state of unconsciousness caused by disease, injury, poison or other means from which there exists no reasonable expectation of regaining consciousness.
“Severely and Permanently Mentally Impaired” means being in a permanent and irreversible state of mental impairment in which there is:
The absence of voluntary action or cognitive behaviour; and An inability to communicate or interact purposefully with the environment.
“Life Support” means any medical procedure, treatment or intervention which sustains, restores or supplants a spontaneous vital function. In this document the term does not include tube feeding or the provision of medication or the performance of a medical procedure when such medication or procedure is deemed necessary to provide Comfort Care or to alleviate pain.
“Tube Feeding” means the provision of nutrients or fluids by a tube inserted in a vein, under the skin in the subcutaneous tissues, or in the stomach (gastrointestinal tract).
“Cardiopulmonary Resuscitation” means restoration of heartbeat and breathing following cardiac arrest, using artificial respiration and external cardiac massage.
“Comfort Care” means treatment, including prescription medication, provided to the patient for the sole purpose of alleviating pain and discomfort.
B. STATEMENT OF VALUES AND BELIEFS
My 3 focused beliefs include the following:
1. God will take me when he chooses to
2. I went to 5 different hospitals, and they all declined my physical health
3. I was abused after a wrong detained and almost killed myself at Fieldhead hospital.
C.TREATMENT DIRECTIONS AND END-OF-LIFE DECISIONS
I direct that my health care providers and others involved in my care provide, withhold or withdraw treatment in accordance with my directions below:
If I have an incurable and irreversible Terminal Condition that will result in my death within a relatively short time, I direct that:
1. I not be given Life Support or other life-prolonging treatment
2. ii. not receive Tube Feeding even if withholding such feeding would hasten my death:
3. Cardiopulmonary Resuscitation be performed if, in the opinion of my doctor, it is necessary; and
4. Should I develop another separate condition that threatens my life, such other illness be given active treatment if, in the opinion of my doctor, such treatment is indicated.
Find yourself, love yourself and better yourself❤️
muni’s thoughts 