,,APP5DIX ;,B
         ,,MAMA'S 8,,DY+ ,,?+Y0

,Z PROMIS$1 ,I AM 9CLUD+ ! DOCU;T ,I
WROTE 9 ORD] 6C>RY \ ! WI%ES Z PRESCRIB$
9 MY "M'S ,LIV+ ,W4 ,I AM1 = LEGAL
R1SONS1 DELET+ ! "N (! 9/ITU;N Z WELL Z
MY "M'S "N4 ,I AM N 9CLUD+ ! "NS ( MY
BRO!RS 9 ORD] 6GIVE !M PRIVACY4 ,!Y DID
N1 AF ALL1 DECIDE 6QUIT _! JOBS 9 ORD]
6WRITE & PROMOTE A BOOK AB D1? & DY+ )
ANIMALS & MUSIC 9 X4 ,Z Y C SEE1 ,I H
LEFT ! DATE Z X 0 :5 ,I WROTE ? DOCU;T4
,I MADE Z FEW *ANGES Z POSSI# 9 ORD] T !
DOCU;T WD RETA9 ! SAME FLAVOR Z X _H :5
,I WROTE X 9 ,AUGU/ ( #AIIC4 ,I H AL
*ANG$ ! PH"O NUMB] (! ,TEXAS ,HOSPICE
,ORGANIZ,N : IS N[ ! ,TEXAS--,NEW
,MEXICO ,HOSPICE ,ORGANIZ,N4 ,JOYCE ,FOX
IS NO L;G] ! DIRECTOR ( T ORGANIZ,N4 ,%E
HOLDS A POSI;N )! ,N,NAL ,HOSPICE
,ORGANIZ,N & IS ! DIRECTOR (! HOSPICE 9
,NEW ,BRAUNFELS1 ,TEXAS4
  ,NO FAMILY MEMB] (A DY+ LOV$ "O %D H
6WRITE A DOCU;T S* Z ! "O Y >E AB 6R1D4
,"H'S :AT 6WRITE IF Y >E A ,M$ICAL
,ADVOCATE TRY+ 65=CE ! WI%ES DESIGNAT$
0"O ( YR LOV$ "OS 9 H] ,LIV+ ,W & AN
9/ITU;N OR PHYSICIAN CALLS YR BLUFF4

,AUGU/ #C1 #AIIC
  ,WE ! ,"USIGN$ AU?ORIZE ,? ,9/ITU;N
6T]M9ATE ALL EF=TS 6EXT5D ! LIFE ( \R
"M4 ,%E HAS N BE5 A# 6-MUNICATE 9 ANY
WAY S9CE ,OCTOB] #E1 #AIIB DUE 6A
MASSIVE /ROKE4 ,S9CE %E IS BR1?+ ON H]
[N1 WE ALL[$ H] 6BE MA9TA9$ 0AN
>TIFICIAL DEVICE : =CES SYN!TIC FOOD
SUPPLE;T DIRECTLY 96H] /OMA* 0M1NS (A
RU2] TUBE4 ,WE ALL[$ ? PROC$URE 9 ORD]
6GIVE H] "T 6IMPROVE4
  ,NO IMPROVE;T HAS TAK5 PLACE & WE
2LIEVE T ! QUAL;Y ( \R "M'S LIFE IS
EXTREMELY POOR4 ,"! IS N "O S+LE V]BAL
OR NONV]BAL FUNC;N T %E C P]=M 6EV5
-MUNICATE 8YES0 OR 8NO0 6U4 ,%E HAS
DECL9$ PHYSIC,Y & IS "UGO+ OBVI\S
MUSCUL> ATROPHY4
  ,:ILE \R "M 0 ( S.D M9D & BODY1 %E
SIGN$ A /&>D COPY (! ,TEXAS ,NATURAL
,D1? ,ACT Z H] ,LIV+ ,W4 ,? DOCU;T
SPECIFIC,Y PROHIBITS ANY 8>TIFICIAL
PROL;G,N0 ( H] LIFE4 ,Z ADM9I/RATORS (
H] ,LIV+ ,W1 WE 2LIEVE T X IS N[ \R
MORAL & LEGAL OBLIG,N 6HELP H] EASE !
TRANSI;N F H] LIFE ON E>? 6H] _SUAL
LIFE1 & T FAILURE 6D S WD 2 CRUEL &
9HUMANE1 Z WELL Z 2+ 9 VIOL,N (! 9T5T (!
,LIV+ ,W : %E SIGN$ 9 ! PRES;E ( H]
ATTORNEY4
  ,X IS ) GRT REGRET T WE ASK ? 9/ITU;N
6T]M9ATE ALL USE (! >TIFICIAL & LIFE-
PROL;G+ ABDOM9AL =CE-FE$+ DEVICE & 6TAKE
:AT"E M1SURES >E NEC 6KEEP H] -=TA# :ILE
%E IS 9 TRANSI;N F H] E>?LY LIFE 6H]
_SUAL LIFE4 ,^! M1SURES % 9CLUDE B >E N
LIMIT$ TO3 ANY PALLIATIVE C>E &!
ADM9I/R,N ( ANY M$IC,N NEC 69SURE H] -=T
DUR+ ? PROCESS4
  ,=! PURPOSES ( ? DOCU;T1 ! DEF9I;N (
PALLIATIVE C>E % 9CLUDE B N NECESS>ILY 2
LIMIT$ 6! FOLL[+ M$ICAL MODALITIES3
,TURN H] ON A REGUL> BASIS1 SET H] UP
TWICE A "D Z IS ! PRES5T R\T9E1 GIVE H]
Z _M %[]S & SP;GE BA?S Z NEC 6KEEP H]
SK9 F FEEL+ DRY1 APPLY LO;NS 6H] SK9 Z
NEC4 ,CL1N ! 9SIDE ( H] M\? ) SP;GES ON
A /ICK OR A SMALL SYR+E FULL ( WAT] Z
(T5 Z NEC 6KEEP ! 9SIDE ( H] M\? MOI/2
MOI/5 H] LIPS ) ,VASEL9E &/OR WAT] Z
NEC4 ,KEEP GIV+ H] ANTIHI/AM9ES IF %E
APPE>S 6NE$ !M4 ,TAKE ALL M1SURES
6PREV5T 3/IP,N4
  ,IF %E 2COMES UNCOM=TA#1 GIVE H] A
LI<T DOSE ( MORPH9E OR ANY O!R M$IC,N
SU7E/$ 0H] PHYSICIAN4 ,3SULT,N )! ,TEXAS
,HOSPICE ,ORGANIZ,N MAY 2 NEC4 ,!
ADM9I/R,N ( S* M$IC,N Z WELL Z !
ADM9I/R,N ( OXYG5 %D 2 LEFT 6! 4CRE;N (
H] PHYSICIAN &/OR ! ,TEXAS ,HOSPICE
,ORGANIZ,N4 ,/UDIES H %[N1 AC 6! ,TEXAS
,HOSPICE ,ORGANIZ,N1 T Z DEHYDR,N O3URS
T ! ABIL;Y 6FEEL PA9 DECR1SES4 ,PL1SE
REF] ALL O!R "QS 3C]N+ ! T]M9,N (!
ABDOM9AL =CE-FE$+ LIFE-PROL;G+ DEVICE
6H] PHYSICIAN &/OR ! ,TEXAS ,HOSPICE
,ORGANIZ,N :O HAS _H A GRT D1L ( EXP]I;E
9 ^! MATT]S4
  ,SP1K 6\R "M (T5 AB F9,Y GETT+ 6G &
SEE ,GOD & H] HUSB&4 ,T[>DS ? 5D1 ALL
SIGNS ( PHYSICAL DET]IOR,N %D 2 SPOK5 (&
REG>D$ Z A POSITIVE SIGN4
  ,TEXAS--,NEW ,MEXICO ,HOSPICE
,ORGANIZ,N ,TELEPH"O 7#EAB7 #DED-ABDG
,WRITT5 & SIGN$ BY3 ,AUNDREA
,WIT;S$ BY3
,WIT;S$ BY3
,SIGNATURE ( ,OLDE/ ,BRO!R
,WIT;S$ BY3
,WIT;S$ BY3
,SIGNATURE ( ,MI4LE ,BRO!R
,WIT;S$ BY3
,WIT;S$ BY3