Advance Directives

of ACCOUNT_FIRST_NAME ACCOUNT_LAST_NAME

I, ACCOUNT_FIRST_NAME ACCOUNT_LAST_NAME, of ACCOUNT_ADDRESS_SINGLE_LINE, being a legal adult being of competent and sound mind, do HEREBY DECLARE this to be my advance directives ("Directives") reflecting my personal wishes and free will and HEREBY REVOKE all previous advance directives made by me relating to my medical care and treatment (if any).

1. Personal Background

I was born on DOB. I am the holder of Identity Document: ID. I understand that the object of this directive is to minimise distress or indignity which I may suffer or create when I am terminally ill or in a persistent vegetative state or a state of irreversible coma, or in other specified end-stage irreversible life-limiting condition, and to spare my medical advisers or relatives, or both, the burden of making difficult decisions on my behalf.

2. Definitions

The following terms shall (unless the context requires otherwise) have the following respective meanings:

"Artificial nutrition and hydration" means the feeding of food and water to a person through a tube.

"Life-sustaining treatment" means any of the treatments which have the potential to postpone the patient's death and includes, for example, cardiopulmonary resuscitation, artificial ventilation, blood products, pacemakers, vasopressors, specialised treatments for particular conditions such as chemotherapy or dialysis, antibiotics when given for a potentially life-threatening infection, and artificial nutrition and hydration.

"Other end-stage irreversible life-limiting condition" means suffering from an advanced, progressive, and irreversible condition not belonging to Terminal Illness, Vegetative State or Irreversible Coma, but has reached the end-stage of the condition, limiting survival of the patient. Examples include:

(1) patients with end-stage renal failure, end-stage motor neuron disease, or end-stage chronic obstructive pulmonary disease who may not fall into the definition of terminal illness, because their survival may be prolonged by dialysis or assisted ventilation, and

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