Durable Power of Attorney for Health Care - Nevada

DPA.HC (1-02) -4- Principal______
(With respect to decisions to withhold or withdraw life-
sustaining treatment, your attorney-in-fact must make health care
decisions that are consistent with your known desires. You can, but
are not required to, indicate your desires below. If your desires
are unknown, your attorney-in-fact has the duty to act in your best
interests; and, under some circumstances, a judicial proceeding may
be necessary so that a court can determine the health care decision
that is in your best interests. If you wish to indicate your
desires, you may INITIAL the statement or statements that reflect
your desires and/or write your own statements in the space below.)
(IF THE STATEMENT REFLECTS YOUR DESIRES, INITIAL THE
BOX NEXT TO THE STATEMENT.)
(1) I desire that my life be prolonged to the greatest
extent possible, without regard to my condition, the
chances I have for recovery or long term survival,
or the cost of the procedures. [_________]
(2) If I am in a coma which my doctors have
reasonably concluded is irreversible, I desire
that life-sustaining or prolonging treatments
not be used. (Also should utilize provisions of
NRS 449.535 to 449.690, inclusive, if this
subparagraph is initialed.) [_________]
(3) If I have an incurable or terminal condition
or illness and no reasonable hope of long term
recovery or survival, I desire that life-
sustaining or prolonging treatments not be
used. (Also should utilize provisions of
NRS 449.535 to 449.690, inclusive, if this
subparagraph is initialed.) [_________]
(4) Withholding or withdrawal of artificial
nutrition and hydration may result in death
by starvation or dehydration. I want to
receive or continue receiving artificial
nutrition and hydration by way of the
gastro-intestinal tract after all other
treatment is withheld. [_________]
(5) Except as set forth in Paragraph (2)
and/or (3) above, I do not desire treatment
to be provided and/or continued if the burdens
of the treatment outweigh the expected benefits.
My attorney-in-fact is to consider the relief of
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