Durable Power of Attorney for Health Care - Nevada

DPA.HC (1-02) -6- Principal______
(11) If I am diagnosed as having dementia or the
Alzheimer's type or other dementia that is deemed
by best available medical knowledge to be
progressive and irreversible, and I no longer have
decision-making capacity, I desire that I be allowed
to die of natural causes such as pneumonia or
dehydration if I become ill or fail to take in
enough fluids by mouth. [_________]
(12) It is my desire to be comfortable. If I
cannot communicate with my Doctor, family or
friends, then I want my Attorney-in-fact, family
and friends to know the following:
(a) I ask that medical treatment to alleviate
pain, to provide comfort, and to mitigate
suffering be provided so that I may be as
free of pain and suffering as possible.
When the circumstances are appropriate, and
in accordance with my wishes as I have
expressed them, such pain relief may be
authorized even though its use may lead
to physical damage, addiction, or even
hasten the moment of (but not intentionally
cause) my death. [_________]
(b) If my temperature is above normal, I
want a cool moist cloth put on my head. [_________]
(c) I want my mouth and lips kept moist. [_________]
(d) I need to be kept fresh and clean at
all times. I wish to have warm baths
often or warm showers, if I am stable
enough for a shower. [_________]
(e) I desire to be massaged with or without
warm oils as often as you think will help
maintain my skin integrity and provide
for my comfort. [_________]
(f) I want to have my favorite types of
music played when possible. [_________]
(g) I want my personal care such as
nail clipping, hair combing, and teeth
brushing and shaving as long as they do
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