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<p class="MsoNormal" style="background:white"><a name="_GoBack"></a><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">I have not run into this and therefore interested in thoughts on the same. Below is the statute for our state’s
health care directive. I have a developing medical situation that the woman is in a coma has a health care directive (appears to be a pre-printed form) that has the exact language from RCW 70.122.030 directing “treatment be withheld or withdrawn”, but chose
the option of “I DO” want artificially provided nutrition and hydration. How does one reconcile these two statements?
<o:p></o:p></span></p>
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<p class="MsoNormal" style="background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">RCW 70.122.030(1):<o:p></o:p></span></p>
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<p class="MsoNormal" style="text-indent:.5in;background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">Directive made this . . . . day of . . . . . . (month, year).<o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">I . . . . . ., having the capacity to make health care decisions, willfully, and voluntarily make known my desire
that my dying shall not be artificially prolonged under the circumstances set forth below, and do hereby declare that:<o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">(a)
<span style="background:yellow;mso-highlight:yellow">If at any time I should be diagnosed in writing to be in</span> a terminal condition by the attending physician, or in
<span style="background:yellow;mso-highlight:yellow">a permanent unconscious condition by two physicians, and where the application of life-sustaining treatment would serve only to artificially prolong the process of my dying, I direct that such treatment be
withheld or withdrawn, and that I be permitted to die naturally.</span> I understand by using this form that a terminal condition means an incurable and irreversible condition caused by injury, disease, or illness, that would within reasonable medical judgment
cause death within a reasonable period of time in accordance with accepted medical standards, and where the application of life-sustaining treatment would serve only to prolong the process of dying. I further understand in using this form that a permanent
unconscious condition means an incurable and irreversible condition in which I am medically assessed within reasonable medical judgment as having no reasonable probability of recovery from an irreversible coma or a persistent vegetative state.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">(b) In the absence of my ability to give directions regarding the use of such life-sustaining treatment, it is my
intention that this directive shall be honored by my family and physician(s) as the final expression of my legal right to refuse medical or surgical treatment and I accept the consequences of such refusal. If another person is appointed to make these decisions
for me, whether through a durable power of attorney or otherwise, I request that the person be guided by this directive and any other clear expressions of my desires.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">(c)
<span style="background:yellow;mso-highlight:yellow">If I am diagnosed to be in a</span> terminal condition or in a
<span style="background:yellow;mso-highlight:yellow">permanent unconscious condition</span> (check one):<o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black;background:yellow;mso-highlight:yellow">I DO want to have artificially provided nutrition and hydration.</span><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">I DO NOT want to have artificially provided nutrition and hydration.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">(d) If I have been diagnosed as pregnant and that diagnosis is known to my physician, this directive shall have no
force or effect during the course of my pregnancy.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">(e) I understand the full import of this directive and I am emotionally and mentally capable to make the health care
decisions contained in this directive.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">(f) I understand that before I sign this directive, I can add to or delete from or otherwise change the wording of
this directive and that I may add to or delete from this directive at any time and that any changes shall be consistent with Washington state law or federal constitutional law to be legally valid.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">(g) It is my wish that every part of this directive be fully implemented. If for any reason any part is held invalid
it is my wish that the remainder of my directive be implemented.<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Times New Roman","serif"">Signed . . . .<o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center;background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">City, County, and State of Residence<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:12.0pt;font-family:"Helvetica","sans-serif";color:black">The declarer has been personally known to me or has provided proof of identity and I believe him or her to be capable of making health
care decisions.<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Times New Roman","serif"">Witness . . . .<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Times New Roman","serif"">Witness . . . .<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
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<p class="MsoNormal" style="text-align:justify"><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">Thank you,<o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-size:10.0pt;font-family:"Arial","sans-serif""><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">Marcus J. Fry<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">Lyon, Weigand & Gustafson, P.S.
<br>
<br>
</span><span style="font-size:10.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><b><span style="font-size:10.0pt;font-family:"Arial","sans-serif"">Confidentiality:
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