<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"><head><meta http-equiv=Content-Type content="text/html; charset=us-ascii"><meta name=Generator content="Microsoft Word 15 (filtered medium)"><style><!--
/* Font Definitions */
@font-face
{font-family:"Cambria Math";
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:11.0pt;
font-family:"Calibri",sans-serif;}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:#0563C1;
text-decoration:underline;}
.MsoChpDefault
{mso-style-type:export-only;
font-size:10.0pt;}
@page WordSection1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]--></head><body lang=EN-US link="#0563C1" vlink="#954F72"><div class=WordSection1><p class=MsoNormal>Adrienne:<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Although I was once nationally certified as an EMT, I don’t pretend to be a medical professional. I’m not aware of a method of artificial hydration other than intravenous, and that’s what I reference in my DTPs. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>As far as whether to choose it or not, I will tell you a story. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>I noticed after a while that none of my physician clients were declining artificial hydration. I asked one of them once why. He told me that in coma and end of life situations we simply do not know whether the patient feels pain or not, but that if patients can feel it dehydration is an excruciatingly painful way to go. Also, in a coma/end of life circumstance, unlike you and I walking around who would die after three days or so without water, the body reabsorbs waste fluids and the process of dying can extend for 2 to 3 weeks. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Contrary, I once had the unhappy job of being a client’s last resort as health care AIF – I had to consent to the withdrawal of “life sustaining treatment.” I asked the ICU doctor the same question. She answered that when the body gets to the end, endorphins kick in and we don’t feel anything. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>So … take your chances. An opinion is above my pay grade. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>John J. Sullivan<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><div><div style='border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b>From:</b> wsbapt-bounces@lists.wsbarppt.com <wsbapt-bounces@lists.wsbarppt.com> <b>On Behalf Of </b>Susan Donahue<br><b>Sent:</b> Tuesday, April 21, 2020 4:07 PM<br><b>To:</b> akwills@willslawfirm.com; 'WSBA Probate & Trust Listserv' <wsbapt@lists.wsbarppt.com><br><b>Subject:</b> Re: [WSBAPT] Health care directive/hydration<o:p></o:p></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Hi Adrienne,<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Well, the nurse clients I have had have told me that artificial hydration means hooking up a drip and pumping water into the body, but they also tell me that at the end of life, this is not a good idea because the body just cannot process the influx. Same with artificial nutrition. But I don’t offer this analysis since I am not a medical professional. Most people don’t have a question about it. I’ve only had one person choose to allow artificial hydration and nutrition in 8 years of preparing health care directives. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Perhaps someone else has a more technical definition.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Susan<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Susan Donahue<o:p></o:p></p><p class=MsoNormal>Law Office of Susan Donahue<o:p></o:p></p><p class=MsoNormal>125 West 2<sup>nd</sup> Avenue, Suite “B”<o:p></o:p></p><p class=MsoNormal>P.O. Box 81<o:p></o:p></p><p class=MsoNormal>Twisp, WA 98856<o:p></o:p></p><p class=MsoNormal>(509) 996-5944 (phone)<o:p></o:p></p><p class=MsoNormal>(509) 362-9692 (fax)<o:p></o:p></p><p class=MsoNormal><a href="mailto:sdonahue@sdonahuelaw.com">sdonahue@sdonahuelaw.com</a><o:p></o:p></p><p class=MsoNormal><a href="http://www.sdonahuelaw.com">www.sdonahuelaw.com</a><o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><o:p> </o:p></p><div><div style='border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b>From:</b> <a href="mailto:wsbapt-bounces@lists.wsbarppt.com">wsbapt-bounces@lists.wsbarppt.com</a> <<a href="mailto:wsbapt-bounces@lists.wsbarppt.com">wsbapt-bounces@lists.wsbarppt.com</a>> <b>On Behalf Of </b>Adrienne Keith Wills<br><b>Sent:</b> Tuesday, April 21, 2020 3:44 PM<br><b>To:</b> <a href="mailto:wsbapt@lists.wsbarppt.com">wsbapt@lists.wsbarppt.com</a><br><b>Subject:</b> [WSBAPT] Health care directive/hydration<o:p></o:p></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Hi Listmates,<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>I’m curious to know if anyone has specific information about what qualifies as artificial hydration under RCW 70.122.030 (health care directive)?<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Thank you, Adrienne<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>--<o:p></o:p></p><p class=MsoNormal><b><span style='font-variant:small-caps'>Wills Law Firm Inc.</span></b><span style='font-variant:small-caps'> (</span><i><span style='color:black'>please note the new name for my practice</span></i><span style='color:black'>)</span><span style='font-variant:small-caps'><o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>Adrienne K. Wills, Attorney | Mediator<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>Helping family law and estate planning clients create their legacy </span><o:p></o:p></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:black'>1700 Seventh Ave, Suite 2100 | Seattle, WA 98101</span><o:p></o:p></p><p class=MsoNormal><span style='color:black'>Web: </span><a href="http://www.WillsLawFirm.com"><span style='color:blue'>www.WillsLawFirm.com</span></a><span style='color:black'> | Tel. </span><a href="tel:%28206%29%20523-3047" target="_blank">(206) 523-3047</a><span style='color:black'> | Fax </span><u><span style='color:#0070C0'>(206) 219-6714</span></u><o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>--<o:p></o:p></p><p class=MsoNormal><b><span style='font-variant:small-caps'>Wills Law Firm Inc.</span></b><span style='font-variant:small-caps'> (</span><i><span style='color:black'>please note the new name for my practice</span></i><span style='color:black'>)</span><span style='font-variant:small-caps'><o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>Adrienne K. Wills, Attorney | Mediator<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>Helping family law and estate planning clients create their legacy </span><o:p></o:p></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:black'>1700 Seventh Ave, Suite 2100 | Seattle, WA 98101</span><o:p></o:p></p><p class=MsoNormal><span style='color:black'>Web: </span><a href="http://www.WillsLawFirm.com"><span style='color:blue'>www.WillsLawFirm.com</span></a><span style='color:black'> | Tel. </span><a href="tel:%28206%29%20523-3047" target="_blank">(206) 523-3047</a><span style='color:black'> | Fax </span><u><span style='color:#0070C0'>(206) 219-6714</span></u><o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p></div></body></html>