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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link="#0563C1" vlink="#954F72" style='word-wrap:break-word'><div class=WordSection1><p class=MsoNormal>I agree that the two conditions triggering the Natural Death Act are not yet present unless the patient is terminal or permanently unconscious. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Then the question is whether the patient has legal capacity to withhold consent, right? If I were the client I would make sure I had a health care POA in place and had “the talk” with the AIF. It wouldn’t hurt to express these specific wishes in the “Supplemental” portion of the Advance Directive, being clear that it’s the patient’s wishes even if neither incapacitated nor terminal/permanently unconscious.<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>Rebecca King<br><b>Sent:</b> Friday, January 15, 2021 8:32 AM<br><b>To:</b> WSBA Probate & Trust Listserv <wsbapt@lists.wsbarppt.com><br><b>Subject:</b> Re: [WSBAPT] Refusal of Consent for Care - Ventilator<o:p></o:p></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Interesting question, David. RCW 70.122.030 (the advance directive statute) specifically applies to situations where someone is terminally ill or permanently unconscious. We know COVID isn’t in itself a terminal diagnosis, and that folks with COVID who have gone on ventilators have come off of them. So, I wouldn’t think RCW 70.122.030 would apply but I would love to hear other opinions. And, with that caveat to the client, I would absolutely draft a document stating their wishes so that their decision makers and physicians can make an informed choice regarding ventilation.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal style='text-autospace:none'>Warmest regards,<o:p></o:p></p><p class=MsoNormal style='text-autospace:none'><span style='font-size:14.0pt;font-family:"Script MT Bold";color:black'>Rebecca King</span><o:p></o:p></p><p class=MsoNormal style='text-autospace:none'><span style='font-size:10.0pt;font-family:"Book Antiqua",serif;color:black'>Attorney</span><o:p></o:p></p><p class=MsoNormal style='text-autospace:none'><span style='font-size:10.0pt;font-family:"Book Antiqua",serif;color:black'> </span><o:p></o:p></p><p class=MsoNormal style='text-autospace:none'><b><span style='color:black'>Northwest Elder Law Group</span></b><o:p></o:p></p><p class=MsoNormal style='text-autospace:none'><span style='color:black'>2150 N. 107<sup>th</sup> Street, Suite 501</span><o:p></o:p></p><p class=MsoNormal style='text-autospace:none'><span style='color:black'>Seattle, WA 98133</span><o:p></o:p></p><p class=MsoNormal style='text-autospace:none'><span style='color:black'>Main: (206) 937-6102</span><o:p></o:p></p><p class=MsoNormal style='text-autospace:none'><span style='color:black'>Direct Line and Fax: (206) 866-6544</span><o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><i><span style='font-family:"Book Antiqua",serif;color:black'>Providing Services in Elder Law<o:p></o:p></span></i></p><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:8.0pt;font-family:"Book Antiqua",serif;color:black'>CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information protected by law. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.</span><span style='font-size:8.0pt'><o:p></o:p></span></p><p class=MsoNormal><o:p> </o:p></p><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>David Faber<br><b>Sent:</b> Thursday, January 14, 2021 4:29 PM<br><b>To:</b> WSBA Probate & Trust Listserv <<a href="mailto:wsbapt@lists.wsbarppt.com">wsbapt@lists.wsbarppt.com</a>><br><b>Subject:</b> [WSBAPT] Refusal of Consent for Care - Ventilator<o:p></o:p></p></div><p class=MsoNormal><o:p> </o:p></p><div><div><p class=MsoNormal><span style='font-size:12.0pt'>Colleagues:<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:12.0pt'><o:p> </o:p></span></p></div><div><p class=MsoNormal><span style='font-size:12.0pt'>A client has requested if there is a method by which they can proactively refuse consent to be intubated/placed on a ventilator, specifically in the case of covid. This seems to be a step preliminary to your typical advance directive, but I could always just add a provision directing that the principal does expressly refuse to consent to be intubated or otherwise placed on a ventilator. Before I do that, however, I am wondering if this rings any bells for other attorneys/if you have dealt with this issue and have any words of wisdom before I steam ahead with my presumed course of action. Any thoughts?<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:12.0pt'><br>Thank you much!<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:12.0pt'><o:p> </o:p></span></p></div><div><div><div><div><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Best,<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>David J. Faber<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Faber Feinson PLLC<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>800 Polk Street, Suite B<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Port Townsend, WA 98368<br>(360) 379-4110<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p></div><div><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Helvetica",sans-serif'>*** NOTICE: ATTORNEY CLIENT COMMUNICATION - PRIVILEGED & CONFIDENTIAL. This communication may contain privileged or other confidential information. If you are not the intended recipient, or believe that you have received this communication in error, please do not print, copy, retransmit, disseminate, or otherwise use the information. 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