Our family lost its matriarch last year (May 2024). And right now, I’m going through some sh*t.
So.. lemons —-> lemonade.
I’m taking time to gather up all important documents, like a responsible adult. (Adulting sucks, btw) Here’s one for now. A quick template for a living will. I’ll come back and pretty it up in a day or so. But here’s what you need. Of course, consult legal advice and ensure that the particulars work for your state/municipality.
Here’s to health and wellness. -kg
Why a Living Will is Essential for Peace of Mind
Life is full of uncertainties, and while we can't always predict what lies ahead, we can take steps to ensure that our wishes are respected and our loved ones are supported during challenging times. A living will is more than just a document—it's a powerful tool that communicates your healthcare preferences when you're unable to speak for yourself.
By having a living will on file and ensuring your family knows about it, you can reduce confusion, ease emotional burdens, and empower your loved ones to act confidently in accordance with your values. It's not just about planning for the unexpected—it's about giving your family clarity and peace of mind when they need it most.
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LIVING WILL
Declaration of [Your Name]
Date: [Insert Date]
City, State: [Insert City and State]
I. Declaration of Intent
This Living Will is made by me, [Your Full Name], of sound mind and acting of my own volition. Its purpose is to express my wishes regarding medical care should I become unable to communicate these decisions myself.
II. Designation of Healthcare Agent
If I am unable to make healthcare decisions, I designate the following individual as my healthcare agent (also known as a Durable Power of Attorney for Healthcare):
Agent's Name: [Insert Name]
Relationship to Me: [Insert Relationship]
Phone Number: [Insert Phone Number]
Address: [Insert Address]
If the above-named agent is unavailable, unwilling, or unable to act, I designate the following alternate agent:
Alternate Agent's Name: [Insert Name]
Relationship to Me: [Insert Relationship]
Phone Number: [Insert Phone Number]
Address: [Insert Address]
III. Medical Treatment Preferences
In the event that I am unable to express my wishes, I make the following decisions regarding my healthcare:
A. Life-Sustaining Treatments
If I have a terminal condition or am in a persistent vegetative state with no reasonable expectation of recovery:
Respiratory Support:
☐ I want mechanical ventilation.
☐ I do not want mechanical ventilation.
Cardiopulmonary Resuscitation (CPR):
☐ I want CPR if my heart stops.
☐ I do not want CPR if my heart stops.
Artificial Nutrition and Hydration:
☐ I want tube feeding and hydration.
☐ I do not want tube feeding and hydration.
B. Pain Management
I wish to receive adequate pain relief, even if it may hasten my death.
☐ Yes
☐ No
IV. Organ Donation
Upon my death:
☐ I want to donate my organs and tissues for transplantation or research.
☐ I do not want to donate my organs or tissues.
☐ I want to donate only the following: [Specify Organs/Tissues]
V. Additional Instructions
(Use this space for any other specific requests or instructions regarding your care.)
[Insert Any Additional Instructions]
VI. Signatures and Witnesses
This document is made in accordance with the laws of the State of [Insert State].
Signature of Declarant:
[Your Signature]
Date: [Insert Date]
Witnesses' Declaration:
We, the undersigned, declare that the person signing this document appears to be of sound mind and signed this Living Will in our presence.
Witness #1:
Name: [Insert Name]
Address: [Insert Address]
Signature: [Insert Signature]
Date: [Insert Date]
Witness #2:
Name: [Insert Name]
Address: [Insert Address]
Signature: [Insert Signature]
Date: [Insert Date]
(Notary Public optional depending on your state requirements.)