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A.   REFUSAL OF TREATMENT

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I request no CPR at ANY TIME.

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I request no life sustaining treatments for :

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1. Any type of dementia.

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2. Brain Injury.

(eg stroke, coma,  minimally conscious states etc).

 

3. Diseases of the Central Nervous System (eg  MND, Parkinsons and Huntingtons Disease etc )

 

4. Terminal illness.

 

5. Other conditions which MIGHT result in the following -

 

Dependent on others for

washing, dressing etc. 

or

breathlessness,  

paralysis,

reduced mobility ,

speech or mental deficits,

incontinence etc.

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So please don't ' save me'  -

it's the worst thing you could do !

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B.   ABOVE APPLIES

 

If I can no longer make or communicate decisions about my medical treatment.

 

And I am unlikely to regain the ability to make those decisions.

 

I confirm the refusals apply even if my life is at risk or may be shortened as a result.

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NB Life sustaining treatments rejected include

 

1. CPR,

​2. Artificial ventilation,

3. Antibiotics

4. Clinically assisted nutrition / hydration.

5. Any other treatments to sustain life.

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C.  WHY THIS DECISION ?

 

I consider being dead - like being sleep -  quite pleasant.

 

So I prefer to be dead rather  than alive in any of the above situations .

 

I already have poor health and choose not to cope with worse.

 

This is a carefully considered decision.

 

Respiratory depressant effect of high dose opiates in pain relief are acknowledged and welcomed.

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D. GENERAL INFORMATION

 

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1. The above is the Living Will of :

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Christopher Guy Tyrrell.

Haulfryn, Borras Hall Lane, Wrexham.

LL13 9SG.

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2. Distinguishing features:

Short leg, scars on left hip.

 

3. NHS Number 454 704 1377     DOB X/8/1957

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4.GP Dr Ian Happs, Gresford Surgery,

Wrexham Tel 01978 852208

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5. I have discussed the above with my attorneys who are aware of my thoughts on NOT being resuscitated.

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6. Power of Attorney - see Contacts.

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I confirm that I have carefully considered my wishes as set out above and that all the information and decisions within it are my own.

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Signed  ( see Advance Decision for signature)

 

Name  Christopher Guy Tyrrell

Date     16/10/2019

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Witness

I confirm that this Advance Decision was signed in my presence.

 

Signed  ( see Advance Decision for signature)

 

Name   Peter Andrew Jones

Date     16/10/2019

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NB Signatures are removed to avoid misuse.