Durable Power of Attorney for Health Care - Nevada

DPA.HC (1-02) -5- Principal______
suffering, the preservation or restoration of
functioning, and the quality as well as the
extent of the possible extension of my life. [_________]
(6) 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 suffering, the
preservation or restoration of functioning, and
the quality as well as the extent of the possible
extension of my life. [_________]
(7) If any of my tissues or organs are sound
and would be of value, I freely give my per-
mission for such donation pursuant to the
Uniform Anatomical Gift Act (NRS 451.500) for
the following purposes:
(a) For transplant to other people. [__________]
(b) For transplant to family, only. [__________]
(c) For medical research. [__________]
(8) I want the financial cost of my medical
treatment to be taken into account and weighed
against the likelihood that the treatment will
achieve the goals that I have initialed above. [_________]
(9) If I am disabled, but not in need of nursing
home care, then I direct my attorney-in-fact to
obtain an individualized care plan for me which
is to be prepared by a geriatric care manager
within 60 days of my disability. In making said
plan, I direct that the plan be developed in a
manner so that I can be maintained in the least
restrictive environment. [_________]
(10) If a guardian is appointed of my person and/
or estate, by a court of competent jurisdiction,
then I direct my attorney-in-fact to submit this
Durable Power of Attorney for Health Care Decisions
to said court. I then request that said court
implement my directives contained herein and that
the court direct, by its order, that my designated
attorney-in-fact is to continue to make my health
care and placement decisions in accordance with
this document, even if my attorney-in-fact is not
a Nevada resident. [_________]
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