Medical Power Of Attorney And Texas Will To Live (Page 5 of 8) in pdf

I reject, however, any treatments that use an unborn or newborn child, or any tissue or organ of an unborn or

newborn child, who has been subject to an induced abortion. This rejection does not apply to the use of

tissues or organs obtained in the course of the removal of an ectopic pregnancy.

I also reject any treatments that use an organ or tissue of another person when the procurement of such tissue

or organ would cause, contribute to, or hasten that person’s death, including stem cells extracted from human

embryos, or stem cells obtained in a manner that causes, contributes to, or hastens that person’s death.

I request and direct that medical treatment and care be provided to me to preserve my life without

discrimination based on my age or physical or mental disability or the “quality” of my life. I reject any action

or omission that is intended to cause or hasten my death. I direct my health care provider(s) and health care

agent to follow the policy above, even if I am judged to be incompetent.

During the time I am incompetent, my health care agent, as named above, is authorized to make medical

decisions on my behalf, consistent with the above policy, after consultation with my health care provider(s),

utilizing the most current diagnoses and/or prognosis of my medical condition, in the following situations

with the written special instructions.

WHEN MY DEATH IS IMMINENT

A. If a reasonably prudent physician, knowledgeable about my case and treatment possibilities with respect to

the medical conditions involved, would judge that I have an incurable terminal illness or injury, and I will die

imminently even if lifesaving treatment or care is provided to me, the following may be withheld or

withdrawn:

(Be as specific as possible.)

________________________________________________________________________________________

(Cross off any remaining blank lines.)

WHEN I AM TERMINALLY ILL

B. Final Stage of Terminal Condition. If I have an incurable terminal illness or injury, and even though death

is not imminent, I am in the final stage of that terminal condition – meaning that a reasonably prudent

physician, knowledgeable about my case and treatment possibilities with respect to the medical conditions

involved, would judge that I will live only three months or less, even if lifesaving treatment or care is

provided to me the following may be withheld or withdrawn:

(Be as specific as possible.)

________________________________________________________________________________________

(Cross off any remaining blank lines.)

Page 5 of 8

Medical Power Of Attorney And Texas Will To Live Page 5