Page 279 - Demo

BOX FOUR – GENERAL INSTRUCTIONS
INTRODUCTION
I would like these instructions to be acted upon if [two registered medical practitioners are of the reasonable opinion that] I am no longer capable of making and communicating a decision regarding my treatment.
INSTRUCTIONS IF I AM UNCONCIOUS AND UNLIKELY EVER TO REGAIN CONSCIOUSNESS
[I wish to be kept alive for as long as reasonably possible. Please use any relevant medical treatments to achieve this.] OR
[I do not wish to be kept alive by medical treatment. Please only give me medical treatments which will so far as possible keep me in dignity, in comfort and free from pain. I refuse all other medical treatment.]
INSTRUCTIONS IF I AM SUFFERING FROM AN INCURABLE OR IRREVERSIBLE CONDITION THAT WILL RESULT IN MY DEATH IN A RELATIVELY SHORT TIME
[I wish to be kept alive for as long as reasonably possible. Please use any relevant medical treatments to achieve this.] OR
[I do not wish to be kept alive by medical treatment. Please only give me medical treatments which will so far as possible keep me in dignity, in comfort and free from pain. I refuse all other medical treatment.]
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