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In Nebraska, a Living Will operates as a critical document enabling individuals to explicitly articulate their preferences for medical treatment should they become incapacitated and unable to communicate their wishes. This legal document comes into play under circumstances where the person has a terminal condition or is in a persistent vegetative state, ensuring that their medical care aligns with their values and desires. The form allows individuals to make decisions about the use of life-sustaining treatments, including artificial nutrition and hydration, thereby relieving their loved ones and healthcare providers from the burden of making these difficult decisions under stressful conditions. It is an essential tool for advance healthcare planning, granting peace of mind to both the individual and their family by safeguarding the individual’s autonomy even in situations where they cannot speak for themselves. By completing a Living Will, residents of Nebraska have a say in their end-of-life care, emphasizing the importance of this document in upholding the dignity and wishes of the individual.

Sample - Nebraska Living Will Form

Nebraska Living Will

This Living Will is designed to reflect the wishes of the person (hereinafter referred to as "the Principal") regarding their healthcare in circumstances where they are no longer able to communicate or make decisions for themselves. This document is crafted in accordance with the Nebraska Living Will Act.

Please provide the following information:

Principal's Full Name: ____________________________________________

Date of Birth: ____________________________________________________

Address: __________________________________________________________

City: ________________________ State: NE Zip Code: ________________

Appointment of Health Care Representative

I, _________________________ [Principal's Full Name], appoint the following individual as my health care representative to make medical decisions for me when I am no longer capable:

Representative's Full Name: ________________________________________

Relationship to Principal: __________________________________________

Primary Phone Number: _____________________________________________

Alternate Phone Number: ___________________________________________

Instructions for Health Care

I direct that my health care providers and representative follow my instructions as outlined below:

  1. Life-Sustaining Treatment: In the event I am in a terminal condition, __________ [Initial Here] I wish to receive/ __________ [Initial Here] I do not wish to receive life-sustaining treatment that only serves to prolong the process of my dying.
  2. Artificial Nutrition and Hydration: In the event I am in a permanent unconsciousness, __________ [Initial Here] I wish to receive/ __________ [Initial Here] I do not wish to receive artificially supplied food and water.
  3. Pain Relief: Regardless of my condition, __________ [Initial Here] I wish to receive treatment to alleviate pain and discomfort, even if it hastens the moment of my death.

Signatures

This document is signed this _____ day of ________________ (month), __________ (year).

Principal's Signature: _____________________________________________

State of Nebraska, County of ___________________: This document was acknowledged before me on (date) __________________ by (name of principal) _________________________________.

Notary Public Signature: ____________________________________________

My commission expires: _____________________________________________

Witness Declaration

I declare under penalty of perjury under the laws of Nebraska that the principal appears to be of sound mind and under no duress, fraud, or undue influence to sign this living will:

Witness 1 Signature: _______________________________________________

Witness 1 Printed Name: ____________________________________________

Witness 1 Address: _________________________________________________

Witness 2 Signature: _______________________________________________

Witness 2 Printed Name: ____________________________________________

Witness 2 Address: _________________________________________________

PDF Form Information

Fact Number Description
1 A Nebraska Living Will allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate their decisions due to illness or incapacity.
2 It is governed by the Nebraska Uniform Health Care Decisions Act, which is found in Nebraska Revised Statutes, sections 20-401 to 20-417.
3 Individuals can specify in their Living Will their preferences about life-sustaining treatments, including artificial nutrition and hydration.
4 To be legally valid, the form must be signed by the person creating the Living Will (the declarant) in the presence of two witnesses or a notary public.
5 The witnesses to a Nebraska Living Will must be adults, and they cannot be anyone who is at that time the agent, a healthcare provider, an employee of a healthcare provider treating the declarant, or anyone entitled to any portion of the declarant's estate upon death.
6 Living Wills in Nebraska do not have an expiration date and remain in effect indefinitely unless the declarant revokes them, which can be done at any time, either verbally or in writing, regardless of the declarant's mental state.

How to Write Nebraska Living Will

Filling out a Living Will in Nebraska is a proactive step to ensure your healthcare preferences are respected and adhered to, especially during situations when you may not be able to express these wishes yourself. The form serves as a legal document, guiding your loved ones and healthcare providers on how to proceed with your care based on your directives, should you face a critical health condition. The instructions outlined below aim to simplify the process, making it manageable and less daunting for individuals seeking to establish their Living Will.

  1. Begin by downloading the official Nebraska Living Will form from the Nebraska Department of Health and Human Services website or obtaining a copy from a healthcare provider.
  2. Read the instructions provided carefully to ensure a clear understanding of the document's purpose and scope.
  3. Enter your full name at the top of the form to identify yourself as the declarant (the person making the Living Will).
  4. Following the introduction, specify your directives regarding life-sustaining treatments. Clearly indicate what medical procedures you consent to and what you wish to decline in the event you are diagnosed with a terminal condition or are in a persistent vegetative state and cannot communicate your preferences.
  5. If you have specific desires about receiving artificial nutrition and hydration (feeding tubes), make sure to detail your preferences in the designated section.
  6. Appoint a healthcare power of attorney by providing the name, relationship, primary telephone number, and an alternative telephone number (if available) of the person you trust to make healthcare decisions on your behalf, should you become incapable of doing so yourself. This step is optional but highly recommended.
  7. Date and sign the form in the presence of two witnesses, who must also sign the document. The witnesses must be adults and should not be anyone who is related to you by blood, marriage, or adoption, nor anyone who stands to benefit financially from your death. Make sure the witnesses understand their role and the document's significance.
  8. For additional validity, you may choose to have the Living Will notarized. While this step is not mandatory in Nebraska, it can help in reinforcing the document’s credibility.
  9. Once completed, distribute copies of the Living Will to your healthcare power of attorney (if you have appointed one), primary physician, and close family members. Keep the original in a safe but accessible place, and consider registering it with the Nebraska Advance Health Care Directive Registry for ease of access by healthcare providers.

By carefully following these steps, you can successfully complete your Nebraska Living Will, ensuring that your healthcare preferences are clearly documented and can be easily accessed when needed. This preparation not only provides peace of mind but also serves as a gift to your loved ones, sparing them the hardship of making these difficult decisions without your guidance.

Key Details about Nebraska Living Will

What is a Living Will in Nebraska?

A Living Will in Nebraska is a legal document that lets people state their wishes for end-of-life medical care, in case they become unable to communicate their decisions. It has the power to guide healthcare providers on whether to administer, withhold, or withdraw life-sustaining treatment when a person is in a terminal condition and unable to express their wishes.

How do I create a Living Will in Nebraska?

To create a Living Will in Nebraska, you need to complete a form that specifies your healthcare wishes. This form should be signed in the presence of a notary public or two witnesses, who are not related to you by blood, marriage, or adoption and do not stand to inherit from you. It's recommended to discuss your decisions with a healthcare provider and a legal professional to ensure your directives are clear and enforceable.

Is a Living Will the same as a medical power of attorney?

No, a Living Will is not the same as a medical power of attorney. A Living Will outlines your wishes regarding life-sustaining treatment, while a medical power of attorney allows you to appoint someone (an agent) to make healthcare decisions on your behalf if you are unable to do so. Both documents are important parts of advance healthcare planning and can complement each other.

Can I update my Living Will?

Yes, you can update your Living Will at any time. It's a good idea to review it periodically, especially after significant life events such as marriage, divorce, the birth of a child, or a major health diagnosis. To update it, you should complete a new document, following the same signing and witnessing requirements as the original, and ensure that your healthcare provider, family, and anyone else involved in your care are aware of the changes.

What happens if I don't have a Living Will in Nebraska?

If you don't have a Living Will in Nebraska and become unable to communicate your healthcare wishes, decisions about your medical care will typically be made by your closest family members or a court-appointed guardian. This can sometimes lead to conflicts or decisions that might not align with your personal wishes. Creating a Living Will ensures your healthcare preferences are known and can guide your loved ones and healthcare providers in making decisions that respect your values.

Do I need a lawyer to create a Living Will in Nebraska?

While you are not required to have a lawyer to create a Living Will in Nebraska, consulting with one can be beneficial. A lawyer can help ensure that your document clearly states your wishes and meets all legal requirements. This can provide peace of mind to you and your loved ones that your directives will be followed.

How do I make sure my Living Will is followed?

To ensure your Living Will is followed, provide copies to your healthcare provider, a trusted family member or friend, and your medical power of attorney if you have one. Discussing your wishes with them in advance can also be helpful. It's vital that the document is easily accessible in an emergency situation, so make sure the relevant people know where it is stored.

What should I include in my Nebraska Living Will?

Your Nebraska Living Will should include specific instructions about the types of medical treatment you do or do not want to receive if you are diagnosed with a terminal illness or are in a persistent vegetative state and cannot communicate your wishes. Common directives include preferences about life support, resuscitation, mechanical ventilation, artificial nutrition and hydration, and pain management. It's important to be as clear and detailed as possible to guide your healthcare providers and loved ones in making decisions that align with your values.

Common mistakes

Creating a living will can be a thoughtful step towards ensuring your healthcare preferences are respected, especially in situations when you may not be able to express your wishes yourself. The State of Nebraska provides a Living Will form for this purpose, but completing it accurately and thoughtfully is crucial. There are several common mistakes people often make when filling out this form.

First, let's explore some of the critical errors to avoid:

  1. Skipping Details: Many people rush through the form, neglecting to provide sufficient detail about their healthcare preferences. This might include failing to elaborate on what life-sustaining treatments they do or do not want under specific circumstances.
  2. Not Discussing With Family: Another mistake is not discussing the decisions put down in the Living Will with family members. This can lead to confusion or conflicts later when the document needs to be acted upon, as family members may be unaware of or misunderstand the individual’s wishes.
  3. Forgetting to Update: Peoples’ opinions and medical situations change over time. Failing to revise the Living Will to reflect current wishes or health conditions can result in the enforcement of outdated preferences.
  4. Overlooking State Requirements: Every state has unique requirements for living wills. Some individuals might not realize that Nebraska has specific prerequisites for the document to be considered valid, such as the need for witnessing or notarization.

In addition to these errors, it’s important to avoid several other common pitfalls:

  • Not being specific enough about when you would like your living will to take effect. This vagueness can leave too much room for interpretation during critical moments.
  • Choosing a health care proxy or agent without discussing the role with them first. Ensure the person you choose is willing and understands what decisions you'd want them to make on your behalf.
  • Using unclear language that might be open to interpretation can complicate or delay the implementation of your wishes. Clarity is key in a living will.
  • Mistakenly believing that the living will is a one-size-fits-all document and not tailoring it to your personal preferences and values can lead to a mismatch between your desires and the care you receive.

In summary, when completing the Nebraska Living Will form, it's imperative to be detailed, discuss your decisions with loved ones, keep the document updated, comply with state requirements, be specific about your wishes, choose and communicate with your health care proxy, use clear language, and personalize the document to reflect your values and preferences. Avoiding these mistakes can ensure that your health care wishes are understood and respected, offering peace of mind to both you and your loved ones.

Documents used along the form

In Nebraska, individuals planning for their future medical care can use a variety of legal documents in tandem with a Living Will to ensure their wishes are known and respected. These documents serve various purposes, from appointing someone to make healthcare decisions on your behalf to specifying your preferences for medical treatments, including end-of-life care. Understanding the role and function of each complementary document can provide a more comprehensive approach to planning for future healthcare needs.

  • Durable Power of Attorney for Healthcare: This legal document allows an individual to appoint another person (referred to as an agent) to make healthcare decisions on their behalf should they become unable to make those decisions themselves. Unlike a Living Will, which specifically addresses end-of-life care, a Durable Power of Attorney for Healthcare covers a broad range of health-related decisions.
  • Do Not Resuscitate (DNR) Order: A DNR order instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) if an individual's breathing stops or if the heart stops beating. It's often used by individuals with a terminal illness or those who desire a more natural end-of-life process.
  • Organ and Tissue Donation Form: This form allows individuals to express their wishes regarding organ and tissue donation at the time of their death. Completing this form ensures that one’s preferences about organ donation are clearly documented and accessible to family members and healthcare providers.
  • Healthcare Directive or Medical Directive: This document combines a Living Will and a Durable Power of Attorney for Healthcare. It allows individuals to outline their healthcare preferences and appoint an agent to make decisions on their behalf. It's particularly useful for addressing a broad range of medical decisions and treatments beyond end-of-life care.
  • Physician Orders for Life-Sustaining Treatment (POLST): The POLST form complements a Living Will by providing specific medical orders tailored to the individual’s current health condition. It is designed for people with serious health conditions and specifies the types of life-sustaining treatment they wish to receive or avoid.

When used together, these documents provide a comprehensive framework for managing healthcare decisions. They ensure individuals' healthcare wishes are respected, and they give appointed agents and healthcare providers clear guidance. Everyone's healthcare preferences and circumstances are unique, so consulting with a healthcare provider or legal professional can help individuals make informed decisions about which documents will best serve their needs. Understanding and completing these documents can offer peace of mind to individuals and their families, knowing that preparations for future healthcare decisions are in place.

Similar forms

The Nebraska Living Will Form is closely related to a Healthcare Power of Attorney, as both documents enable individuals to make proactive decisions about their medical care. Where a living will specifies one's wishes regarding life-sustaining treatment in the event they cannot communicate, a Healthcare Power of Attorney designates another person to make healthcare decisions on their behalf, covering a broader scope than just life-sustaining measures. This ensures that decisions can be made in line with the individual's preferences when they are unable to communicate those themselves.

Comparable to a Do Not Resuscitate (DNR) Order, the Nebraska Living Will shares the objective of directing medical professionals regarding life-sustaining measures. However, a DNR specifically addresses the avoidance of resuscitation attempts in the event of cardiac or respiratory failure. This document is often used in conjunction with a living will to clearly communicate an individual's preferences in critical health scenarios without relying on verbal consent at the moment.

Similar to a Last Will and Testament, which addresses the distribution of an individual's assets after death, the Nebraska Living Will focuses on the individual's medical treatment preferences during their lifetime, especially in situations where they are incapable of making decisions. Both documents serve to ensure that an individual's wishes are understood and respected, albeit in different contexts: one in healthcare and the other in estate management.

An Advance Directive is another document closely related to the Nebraska Living Will. An Advance Directive combines elements from both a Living Will and a Healthcare Power of Attorney. It encompasses instructions for healthcare preferences and appoints a healthcare agent. The Nebraska Living Will, as a component of an Advance Directive, provides specific instructions on life-sustaining treatment, ensuring that medical care aligns with the individual’s values and preferences.

The Nebraska Living Will has similarities with a Medical Power of Attorney, with both documents centered on healthcare decisions. While a Medical Power of Attorney grants a designated agent the authority to make healthcare decisions on the individual’s behalf, a Living Will specifically outlines the individual’s wishes regarding life-sustaining treatment. These documents complement each other, covering different aspects of healthcare decision-making.

A Five Wishes Document goes beyond traditional healthcare directives by addressing personal, emotional, and spiritual needs in addition to medical and legal wishes. While the Nebraska Living Will focuses on the refusal or acceptance of life-sustaining treatment, the Five Wishes document expands on this concept to include other aspects of end-of-life care, making it a comprehensive tool for expressing healthcare preferences.

A POLST (Physician Orders for Life-Sustaining Treatment) Form is designed for individuals with serious health conditions and outlines specific medical orders regarding life-sustaining treatment. While it shares the Nebraska Living Will's focus on end-of-life care preferences, a POLST is a medical order that takes effect immediately, reflecting a patient's wishes based on their current health status, and is often used alongside a Living Will for more comprehensive care planning.

A Durable Power of Attorney for Finances is parallel to the Nebraska Living Will in that it allows individuals to designate an agent to manage their affairs, but it differs in scope. While the Nebraska Living Will focuses on healthcare decisions, a Durable Power of Attorney for Finances pertains to financial and property matters. Both documents are proactive measures to ensure that an individual's personal matters are handled according to their wishes if they are unable to do so themselves.

An Intellectual Property Assignment Agreement is quite distinct from a Nebraska Living Will but shares the fundamental purpose of ensuring one's wishes are fulfilled. In the context of an Intellectual Property Assignment Agreement, an individual's creative works and inventions are transferred according to their directives, whereas a Living Will directs healthcare preferences. Each document provides a mechanism for individuals to manage their assets—be they physical, financial, or intellectual—in alignment with their intentions.

An Organ Donor Card, while not a formal legal document like the Nebraska Living Will, similarly conveys instructions about an individual’s medical wishes, specifically regarding the donation of organs and tissues after death. This card can complement a Living Will by ensuring that an individual's wishes about organ donation are known in addition to their preferences about life-sustaining treatment. The presence of an Organ Donor Card can significantly impact posthumous medical decisions and the lives of recipients.

Dos and Don'ts

When you're filling out a living will form in Nebraska, it's crucial to approach this document with care and seriousness. A living will speaks for you when you are not able to make decisions regarding your medical treatment. Below, find a list of dos and don’ts that can help ensure your living will is effective, clear, and respects your wishes.

  • Do read the entire form thoroughly before you start filling it out. Understanding the form's content and requirements is crucial for accurately conveying your wishes.
  • Do discuss your wishes with your family and healthcare provider. These conversations can be tough but they're important. They ensure your loved ones understand your preferences and the reasons behind them.
  • Do be as specific as possible in your directions. The more detail you provide, the easier it will be for your caregivers to follow your wishes.
  • Do have the document witnessed or notarized, according to Nebraska state law. This step is vital to make your living will legally binding.
  • Don't leave any sections blank without an explanation. If a section does not apply, it's better to note that explicitly, so there's no confusion.
  • Don't use vague language. Your healthcare decisions should be described clearly to avoid any ambiguity.
  • Don't forget to review and update your living will periodically. Life changes, and so might your health care preferences. Regularly updating your document ensures it always reflects your current wishes.
  • Don't keep your living will a secret. Make sure your family members and healthcare providers know you have one and where it's stored.

Creating a living will is a proactive step toward taking control of your health care future. It provides peace of mind, not just for you but for your family as well, knowing that your medical treatment preferences are documented and can be accessed when necessary. By following these guidelines, you'll be on your way to creating a comprehensive and effective living will in Nebraska.

Misconceptions

Understanding the Nebraska Living Will form is crucial for making informed decisions about future healthcare. However, misconceptions about this document can lead to confusion and missed opportunities in planning for medical care. Here are seven common misconceptions about the Nebraska Living Will form:

  • It's only for the elderly: Many people believe that Living Wills are only necessary for older adults. In reality, adults of any age can face medical emergencies where they are unable to make decisions for themselves. A Living Will speaks on your behalf, regardless of your age.

  • It covers all medical decisions: A common misunderstanding is that a Living Will applies to every medical decision. However, it specifically addresses end-of-life care and treatments when a person is terminally ill or permanently unconscious and cannot make decisions.

  • It's the same as a Last Will and Testament: While both documents are important, they serve different purposes. A Last Will and Testament deals with the distribution of an individual's estate after their death. A Living Will, however, outlines healthcare preferences while the person is still alive but incapacitated.

  • A lawyer is needed to create one: While legal advice can be helpful, individuals can complete a Living Will on their own in Nebraska. State-specific forms are available, which make it possible to create a valid Living Will without the necessity of hiring a lawyer, as long as the document is completed correctly and meets Nebraska's legal requirements.

  • It cannot be changed once it's made: Some people hesitate to complete a Living Will under the mistaken belief that it is permanent. In truth, a Living Will can be revised or revoked at any time, as long as the person making it is still competent.

  • It takes effect as soon as it is signed: A Living Will does not come into effect immediately after signing. It only becomes operative when the individual is diagnosed as being in a terminal condition or in a state of permanent unconsciousness and is unable to communicate their healthcare decisions.

  • It overrides all other forms of medical directives: Another misconception is that a Living Will takes precedence over all other forms of medical directives. Actually, it is one of several forms of advance directives available. Individuals may also have a Durable Power of Attorney for Healthcare, which designates someone else to make healthcare decisions on their behalf. It's crucial to understand how these documents interact with each other.

By clearing up these misconceptions, individuals can take a proactive step in managing their healthcare decisions through the informed use of a Nebraska Living Will form.

Key takeaways

When considering the completion and use of the Nebraska Living Will form, it is important to keep in mind several key takeaways to ensure that the document reflects your wishes accurately and can be effectively used when necessary. Here's a concise list to guide you through the process:

  • Understand the Purpose: Recognize that a Living Will allows you to express your wishes regarding medical treatment in situations where you're unable to communicate due to illness or incapacity.
  • Eligibility Requirements: Ensure you meet the eligibility criteria set by Nebraska law, such as being an adult of sound mind, to create a Living Will.
  • Decide on Treatment Preferences: Take time to reflect on your values and treatment preferences regarding life-sustaining measures, artificial nutrition, and hydration.
  • Consult Healthcare Providers: It's beneficial to discuss your wishes and the implications of your choices with your healthcare provider to ensure your Living Will reflects your medical and personal values accurately.
  • Choose a Healthcare Proxy: Although not the same as a Power of Attorney, it may be wise to designate a healthcare proxy to make decisions on your behalf in cases not covered by your Living Will.
  • Follow Proper Signing Procedures: To be valid, your Nebraska Living Will must be signed in accordance with state laws, often requiring witness signatures and/or notarization.
  • Distribute Copies Wisely: Distribute copies of your completed Living Will to your healthcare proxy (if designated), family members, and healthcare providers to ensure your wishes are known and accessible.
  • Review and Update: Lastly, regularly review and, if necessary, update your Living Will to reflect any changes in your health condition, treatment preferences, or personal circumstances.

By keeping these key points in mind, you can ensure that your Living Will serves its purpose effectively, providing both you and your loved ones with peace of mind during difficult times.

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