- for palliative care, not life-sustaining procedures, and
- for hospice, not hospital.
(D) If any of the conditions described in (A) or (B) or (C) above is present, I direct that I not be given CPR, blood or platelet transfusion(s), artificial nutrition whether enteral or parenteral, dialysis, surgery, resuscitation or any other life-giving or life-sustaining treatment and that I not be placed on a ventilator or given intrustive diagnostic tests, including those requiring drawing my blood. My wish is that I be allowed to die quietly
by voluntarily stopping eating and drinking (VSED).
(E) Treatment for alleviation of pain or discomfort is to be provided at all times, even if it hastens my death or makes me lose consciousness.
(F) I wish to be kept fresh, clean and warm at all times. I direct that my Agent consult with a palliative care physician and that all recommended palliative procedures to ease my physical and emotional suffering be instituted. These include frequent position changes and meticulous oral, nasal, and conjunctival hygiene. In this respect, insertion of a urinary catheter should be considered by my physician. I do not wish to be provided oxygen except as a palliative measure.
(G) If I am in a hospital, I direct my Agent to transfer me to a private room in a palliative care wing. If I am not in a hospital or if transfer to the palliative care wing is not possible, I direct my Agent to transfer me to a private room in a skilled nursing facility that agrees to follow these instructions.