Nebraska Living Will

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I. Introduction

This Living Will document has been established and created specifically for an individual by the name of [Your Name] who is currently living and residing in the city of [Your City], within the state of Nebraska.

II. Declaration of Health Care Preferences

I, [Your Name], being of sound mind and body, hereby declare the following health care preferences:

A. Health Care Agent

1. Appointment: I appoint [Health Care Agent's Name] as my health care agent to make health care decisions on my behalf under my wishes as stated herein.

2. Successor Agent: If [Health Care Agent's Name] is unable or unwilling to serve, I appoint [Successor Agent's Name] as my alternate health care agent.

B. End-of-Life Decisions

1. Life-Sustaining Treatment: If I am diagnosed with a terminal condition or in a persistent vegetative state with no reasonable chance of recovery, I direct that life-sustaining treatment be withheld or withdrawn, including:

   • Mechanical ventilation

   • Cardiopulmonary resuscitation (CPR)

   • Artificial nutrition and hydration

2. Comfort Care: I request that all measures be taken to provide me with comfort care, including pain relief and other palliative treatments.

III. Specific Instructions

In addition to the general directives provided above, I express the following specific instructions regarding my health care:

A. Medical Treatments

1. Surgery: I authorize surgery only if it is deemed necessary to alleviate pain or distress or to improve my quality of life.

2. Medications: I authorize the administration of medications to alleviate pain and discomfort, even if such medications may hasten my death.

B. Organ Donation

1. Donation Consent: I consent to the donation of any of my organs or tissues for transplantation or medical research purposes upon my death.

2. Limitations: I specify any limitations or preferences regarding organ donation:

   • I specify that my organs and tissues be donated for both transplantation purposes and medical research to advance scientific knowledge and medical treatments.

   • I prefer that my family members or designated individuals have the authority to make decisions regarding organ donation if my healthcare agent is unavailable.

   • I request that my organs and tissues be donated per the guidelines and regulations set forth by relevant medical authorities and organizations

IV. Miscellaneous Provisions

A. Severability

If any provision of this Living Will is held invalid, such invalidity shall not affect the remaining provisions, which shall remain in full force and effect.

B. Governing Law

This Living Will shall be governed by the laws of the State of Nebraska.

C. Revocation

I reserve the right to revoke or amend this Living Will at any time, provided such revocation or amendment is executed under the laws of the State of Nebraska.

V. Signature and Witnesses

I declare that I have executed this Living Will on [Date] in the presence of the following witnesses, who have affixed their signatures hereto in my presence and the presence of each other:

Declarant

[Your Name]

[Your City]

Witness 1

Name: [WITNESS NAME 1]

Address: [WITNESS ADDRESS 1]

Witness 2

Name: [WITNESS NAME 2]

Address: [WITNESS ADDRESS 2]

VI. Notary Acknowledgment

State of Nebraska,

County of [County Name]

On this [Date of Notarization], before me, a Notary Public in and for said County and State, personally appeared [Your Name], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that they executed the same for the purposes therein contained.

Witness my hand and official seal.

Notary Public: [NOTARY'S NAME]

My Commission Expires: [EXPIRATION DATE]
Notary Public Seal: [SEAL]

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