PARRIS N. GLENDENING, Governor                               Ch. 10

___ I direct that my life not be extended by life-sustaining procedures, including the

administration of nutrition and hydration artificially.

___ I direct that my life not be extended by life-sustaining procedures, except that if I am

unable to take food by mouth, I wish to receive nutrition and hydration artificially.

(2) If I am in a persistent vegetative state, that is, if I am not conscious and am not
aware of my environment or able to interact with others, and there is no reasonable
expectation of my recovery -

_____I direct that my life not be extended by life-sustaining procedures, including the

administration of nutrition and hydration artificially.

_____I direct that my life not be extended by life-sustaining procedures, except that if I am

unable to take food by mouth, I wish to receive nutrition and hydration artificially.

(3) If I have an end-stage condition, that is a condition caused by injury, disease,
or illness, as a result of which I have suffered severe and permanent deterioration
indicated by incompetency and complete physical dependency and for which, to a
reasonable degree of medical certainty, treatment of the irreversible condition would be
medically ineffective -

___ I direct that my life not be extended by life-sustaining procedures, including the

administration of nutrition and hydration artificially.

___ I direct that my life not be extended by life-sustaining procedures, except that if I am

unable to take food by mouth, I wish to receive nutrition and hydration artificially.

[__] (4) I direct that no matter what my condition, medication not be given to me to

relieve pain and suffering, if it would shorten my remaining life.

[___] (5) I direct that no matter what my condition, I be given all available medical

treatment in accordance with accepted health care standards.

[(4)] (6) If I am pregnant, my decision concerning life-sustaining procedures
shall be modified as follows:

[(5)] (7) I direct (in the following space, indicate any other instructions regarding
receipt or nonreceipt of any health care)

By signing below, I indicate that I am emotionally and mentally competent to make this
advance directive and that I understand the purpose and effect of this document.

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