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Posted on February 13, 2020 at 4:30 AM

I have written about how the new Nevada advance directive form specifically permits individuals to direct the forgoing of food and water by mouth. 


In contrast, West Virginia is taking the opposite approach. The current status of a VSED directive is now uncertain. But if enacted, H.B. 4637 would provide:


Oral fluids and nutrition must be offered as tolerated. If I become unable to safely accept oral fluids and nutrition, I desire the following measures to be taken in regard to providing artificially administered fluids and nutrition, for example IV’s or feeding tubes (initial ONE choice below):”


“I DO WISH to receive food and fluids provided artificially, for example as provided by IV or feeding tube, unless my body becomes incapable of absorbing and processing such, or unless the provision causes complications that worsen my health conditions”


“I DO NOT WISH to receive food and fluids provided artificially, for example by IV or feeding tube. I understand that refusal of such food and fluids may hasten or even cause my death.”




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