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When individuals seek control over decisions related to their healthcare, especially during times when they might not be able to express their wishes themselves, the Nebraska Living Will form becomes an essential document. This legal document allows a person to outline their preferences concerning medical treatments and life-sustaining measures in circumstances where recovery is unlikely. Not only does the form serve as a clear guide for healthcare providers, but it also alleviates the decision-making burden from family members during stressful and emotional times. In Nebraska, creating a Living Will is a proactive step towards ensuring that one's healthcare desires are honored, reflecting personal values and beliefs about end-of-life care. Thus, understanding the ins and outs of the Nebraska Living Will form, including its legal requirements and the processes for its execution and revocation, is pivotal for anyone desiring to have their healthcare wishes respected when they cannot voice them themselves.

Example - Nebraska Living Will Form

Nebraska Living Will Template

This Living Will is designed to express the wishes of the individual, referred to as the “Principal,” concerning their health care decisions under the laws of the State of Nebraska. It activates upon the situation where the Principal is unable to make or communicate health care decisions.

In accordance with the Nebraska Uniform Directed Health Care Act, this document allows the Principal to direct the provision, withholding, or withdrawal of health care.

Principal Information:

  • Full Name: ___________________________________________________
  • Date of Birth: _________________________________________________
  • Address: ______________________________________________________
  • City: ___________________________ State: NE Zip Code: ___________

Health Care Directives:

1. End-of-Life Decisions

I, ___________________________ [Principal’s Full Name], being of sound mind, hereby direct that my health care providers and family or other surrogates consider my wishes as expressed herein. If at any time I am unable to make or communicate my health care decisions and my attending physician determines that I am in a terminal condition, permanent unconsciousness, or other condition as defined by Nebraska law, the following instructions apply:

  • All treatments that may prolong my life are to be provided/withheld/withdrawn (circle one).
  • If I am unable to take food or water by mouth, I wish to receive/decline (circle one) artificially provided nutrition and hydration.

2. Additional Instructions

Here, you may include any additional instructions or limitations regarding your health care, such as preferences about pain management, hospice care, or other interventions. Use additional sheets if necessary.

Designation of Health Care Agent:

If you wish to appoint a Health Care Agent to make health care decisions for you when you cannot, complete the following:

  • Agent's Full Name: ___________________________________________________
  • Relationship to Principal: ____________________________________________
  • Address: ___________________________________________________________
  • City: _________________________ State: NE Zip Code: ___________________
  • Alternate Agent's Full Name (if primary agent is unavailable): ________________
  • Relationship to Principal: ____________________________________________
  • Address: ___________________________________________________________
  • City: _________________________ State: NE Zip Code: ___________________
  • Phone Number(s): ____________________________________________________

Signatures:

This Living Will shall be in effect until it is revoked. I understand the full import of this document and I am emotionally and mentally competent to make this Living Will.

Date: _______________________

Principal's Signature: _________________________________________________

Principal's Printed Name: ______________________________________________

Witnesses (must not be the designated agent, related to the principal by blood, marriage, or adoption, financially responsible for principal’s medical care, or entitled to any portion of principal’s estate):

  1. Witness 1 Name: ______________________________________________________
  2. Address: _____________________________________________________________
  3. Signature: _____________________________________ Date: ________________
  1. Witness 2 Name: ______________________________________________________
  2. Address: _____________________________________________________________
  3. Signature: _____________________________________ Date: ________________

Note: This document does not authorize the withholding or withdrawal of artificially provided nutrition and hydration unless the Principal specifies that intention clearly.

Please review this living will carefully. It is suggested that you consult with a healthcare provider and a lawyer to ensure your wishes are clearly understood and legally binding.

Form Information

Steps to Writing Nebraska Living Will

A living will is an important document that outlines your wishes regarding medical treatment if you are unable to make decisions for yourself. In Nebraska, completing a living will ensures your healthcare preferences are respected and legally recognized. This guide is designed to help you navigate the process of filling out a Nebraska living will form. It's a straightforward process that can provide peace of mind for you and your loved ones, ensuring that your healthcare wishes are clearly articulated and followed.

  1. Begin by downloading the most current version of the Nebraska Living Will form. Ensure you have the latest version for legal compliance.
  2. Read the form thoroughly before filling it out. It's important to understand each section to accurately express your wishes.
  3. In the section designated for personal information, enter your full legal name, date of birth, and address. This identifies you as the declarant, the person making the living will.
  4. Determine your treatment preferences in scenarios where you are unable to make decisions for yourself. This may include decisions about life-sustaining treatment if you are in a terminal condition or permanently unconscious.
  5. Specify your choices regarding artificial nutrition and hydration, and whether you would want these measures continued, withheld, or withdrawn under certain conditions.
  6. Appoint a healthcare proxy or power of attorney, if desired. This is someone you trust to make healthcare decisions on your behalf if you're unable to do so. Include their full name, relationship to you, and contact information.
  7. Review the witness section of the form. Nebraska law requires your living will to be either notarized or signed by two witnesses who meet specific criteria. Take note of these criteria to ensure your form is properly witnessed and valid.
  8. Sign and date the form in the designated area. If you're opting for witnesses, make sure they sign the form in your presence and according to Nebraska's witnessing requirements.
  9. If you've chosen to notarize the document instead of using witnesses, visit a notary public to have your signature notarized. Ensure the notary fills out their section of the form, including their stamp and signature.
  10. After completing the form, make several copies. Keep the original in a safe but accessible place, and give copies to your healthcare proxy (if you have appointed one), close family members, and your primary care physician to ensure your wishes are known and can be followed.

Once your Nebraska living will form is properly filled out and signed, it becomes a legal document guiding your medical care under specific circumstances. Remember, you can update or revoke your living will at any time should your wishes or circumstances change. It's also a good idea to review it periodically and after any significant life events. This proactive step ensures that your healthcare preferences are always up to date and reflective of your current wishes..

FAQ

What is a Nebraska Living Will?

A Nebraska Living Will is a legal document that allows an individual to outline their preferences regarding medical treatment and interventions in situations where they are unable to communicate their wishes due to severe illness or incapacity. This form helps ensure that the person’s healthcare decisions are respected when they can't speak for themselves.

Who should have a Nebraska Living Will?

Ideally, all adults should consider creating a Living Will. Having one is particularly important for individuals with strong convictions about the medical treatment they wish to avoid or pursue in an end-of-life situation, as well as for those with chronic illnesses or who are about to undergo major surgery.

What kind of medical treatments can be included in a Nebraska Living Will?

In a Nebraska Living Will, you can specify your preferences for a range of life-sustaining treatments, including:

  • Resuscitation (e.g., use of CPR or defibrillators)
  • Mechanical ventilation
  • Artificial nutrition and hydration
  • Dialysis
  • Antibiotics or antiviral medications
  • Palliative care (to manage pain and discomfort)

How does one create a Living Will in Nebraska?

Creating a Living Will in Nebraska involves several steps:

  1. Determine your healthcare directives by considering the types of medical treatment you would want or not want in a critical condition.
  2. Consult a healthcare professional if you have questions about specific treatments or conditions.
  3. Complete the Nebraska Living Will form, clearly stating your healthcare directives.
  4. Have the form witnessed or notarized as required by Nebraska law to ensure it is legally binding.
  5. Inform your family, healthcare providers, and anyone else involved in your healthcare about your Living Will and provide them with copies.

Is a lawyer required to create a Living Will in Nebraska?

No, a lawyer is not required to create a Living Will in Nebraska. However, consulting with one can be beneficial, especially if your directives are complex or if you have concerns about the legal aspects of your Living Will.

Can a Nebraska Living Will be revoked or changed?

Yes, you can revoke or change your Nebraska Living Will at any time. To do so, you should communicate your intent to revoke it verbally or in writing to your healthcare provider and anyone else who has a copy. If you wish to make changes, a new Living Will should be completed and distributed to replace the old one.

What happens if I have a Living Will from another state?

If you have a Living Will that was created in another state, it may still be valid in Nebraska if it complies with Nebraska's laws or if it meets the legal requirements of the state in which it was created. It's a good idea to review your existing Living Will with a lawyer to ensure it reflects your current wishes and complies with Nebraska law.

Common mistakes

When it comes to making end-of-life decisions, creating a Living Will is a step that can provide peace of mind, not just for you, but also for your loved ones. In Nebraska, as in many states, a Living Will form allows you to outline your wishes regarding medical treatment in case you're unable to communicate them yourself. However, filling out this form can sometimes be tricky, and it's easy to make mistakes. Let's discuss nine common errors people make when completing the Nebraska Living Will form.

  1. Not Being Specific Enough About Treatment Preferences: One of the most common mistakes is not being clear enough about which treatments you would or wouldn't want. It's important to consider all possible scenarios, including life support, artificial hydration and nutrition, and pain management, to ensure your wishes are followed as closely as possible.

  2. Failing to Update the Document: People's feelings about end-of-life care can change, but they often forget to update their Living Will. Remember, an outdated document may not reflect your current wishes, potentially leading to unwanted treatments or interventions.

  3. Not Discussing the Content With Family and Healthcare Providers: If your loved ones and doctors don't know about your Living Will or understand your choices, they may be left to make difficult decisions without your guidance. A conversation can make sure everyone is on the same page.

  4. Misunderstanding State Requirements: Every state has different laws regarding Living Wills, and Nebraska is no exception. It's crucial to ensure that your document complies with Nebraska law, including witness or notarization requirements, to be valid.

  5. Lack of Witnesses or Improper Witnessing: Nebraska law requires your Living Will to be witnessed by two individuals. Choosing witnesses who are family members or potential heirs, or failing to have witnesses at all, can invalidate the document.

  6. Overlooking the Appointment of a Healthcare Proxy: While not technically part of the Living Will, designating a durable power of attorney for healthcare decisions goes hand-in-hand with it. This decision allows someone you trust to make healthcare decisions on your behalf if you're unable to do so.

  7. Assuming a Living Will is Only for the Elderly: People of all ages can face sudden illness or accidents leaving them incapacitated. It's a mistake to think you don't need a Living Will until you're older.

  8. Using Vague Language: Ambiguities in your Living Will can lead to confusion and conflict among family members or between your family and healthcare providers. Clarity is key in expressing your wishes.

  9. Not Distributing Copies: A Living Will is only useful if the right people know it exists and can access it when it's needed. Ensure your healthcare provider, healthcare proxy, and close family members have copies.

Avoiding these common mistakes can significantly improve the effectiveness of your Nebraska Living Will, making your wishes clear and relieving your loved ones of the burden of making tough decisions during difficult times. Take the time to review, discuss, and update your Living Will regularly to ensure it accurately reflects your current preferences. Doing so can give both you and your family peace of mind, knowing your wishes will be respected.

Documents used along the form

A Living Will is a crucial document that expresses an individual's wishes regarding medical treatments in situations where they are unable to communicate their decisions due to illness or incapacity. It is an essential part of planning for the future, but it is often accompanied by other forms and documents that provide a more comprehensive approach to healthcare and personal wishes. Below are six other important forms and documents commonly used alongside the Nebraska Living Will form:

  • Durable Power of Attorney for Healthcare – This legal document allows an individual to appoint someone they trust as an agent to make healthcare decisions on their behalf if they are unable to do so.
  • Do Not Resuscitate (DNR) Order – A DNR order is a medical order signed by a physician, indicating that a person does not want to receive cardiopulmonary resuscitation (CPR) if their heart stops beating or if they stop breathing.
  • Organ and Tissue Donation Form – This form allows individuals to express their wishes regarding organ and tissue donation, either for transplantation to individuals in need or for medical research.
  • Financial Power of Attorney – Similar to the Durable Power of Attorney for Healthcare, this document designates an individual to make financial decisions and manage the financial affairs of the person if they are unable to do so themselves.
  • HIPAA Release Form – The Health Insurance Portability and Accountability Act (HIPAA) release form grants healthcare providers permission to share an individual’s health information with designated persons.
  • Living Trust – A Living Trust is a legal arrangement where an individual's assets are placed into a trust for their benefit during their lifetime and then transferred to designated beneficiaries upon their death.

Having these documents in place, along with a Living Will, ensures that an individual’s healthcare and personal wishes are honored and that their affairs are managed according to their preferences, providing peace of mind to them and their loved ones.

Similar forms

The Nebraska Living Will form is similar to other advance directives but serves a unique purpose in allowing individuals to detail their wishes regarding life-sustaining treatment in the event they become unable to communicate their decisions. It is a legal document that speaks for the patient when they are not in a position to do so themselves. Understanding how it compares and contrasts with other documents is crucial for a comprehensive approach to end-of-life planning.

Medical Power of Attorney: The Nebraska Living Will is often mentioned in the same breath as a Medical Power of Attorney (MPOA), but they serve different functions. While a Living Will specifies preferences for end-of-life care, an MPOA designates another person to make healthcare decisions on behalf of the individual if they become incapacitated. This appointed agent can make decisions that might not be covered in the Living Will, giving them a broader scope of authority over the individual's medical care. The key similarity is that both documents are activated when the individual is unable to communicate their wishes, ensuring decisions are made according to their values and preferences.

Durable Power of Attorney: Similar to a Medical Power of Attorney, a Durable Power of Attorney (DPOA) allows an individual to appoint someone to make decisions on their behalf. However, the scope of a DPOA extends beyond healthcare decisions to include financial and legal matters. While a Living Will is strictly limited to medical treatment preferences, a DPOA is applicable in a variety of situations where the individual cannot make their own decisions, not limited to medical scenarios. This broader applicability makes DPOA an essential component of a comprehensive estate plan, complementing the healthcare-specific directives of a Living Will.

Do Not Resuscitate Order (DNR): A Do Not Resuscitate Order is another critical healthcare directive, which might seem similar to a Living Will at first glance. Both documents are concerned with the types of medical interventions an individual wishes to receive or avoid. However, a DNR is more specific, instructing medical personnel not to perform CPR or other life-saving measures if the individual's breathing stops or if their heart stops beating. Unlike a Living Will, which provides broad instructions for various end-of-life situations, a DNR is specifically focused on the immediate response to cardiac or respiratory failure. They complement each other, with the DNR addressing emergency medical situations while the Living Will covers a wider range of end-of-life care preferences.

Dos and Don'ts

A living will is a critical document that ensures an individual's healthcare wishes are respected, especially in situations where they might be unable to make decisions for themselves. When completing a Nebraska Living Will form, it's essential to follow specific guidelines to ensure the document is legally valid and effectively communicates your wishes. Below are ten do's and don'ts to consider:

Do:

  1. Thoroughly read the instructions provided with the Nebraska Living Will form before starting to fill it out.
  2. Use clear and precise language to describe your healthcare preferences, ensuring there is no room for misinterpretation.
  3. Discuss your wishes with healthcare providers and close family members so they are not surprised by your decisions.
  4. Have the form witnessed or notarized, according to the requirements in Nebraska, to validate its authenticity.
  5. Include personal identification information accurately, such as your full name, date of birth, and address, to avoid any confusion.
  6. Review the document regularly, updating it as necessary to reflect any changes in your healthcare wishes or personal circumstances.
  7. Store the living will in a secure, yet accessible place, and inform trusted individuals of its location.
  8. Provide copies of the executed document to your healthcare proxy, if you have appointed one, family members, and your primary care physician.
  9. Consider consulting with a legal professional if you have any uncertainties or if your situation involves complex considerations.
  10. Respect the legal requirements and formalities specific to Nebraska, as each state may have different laws governing living wills.

Don't:

  • Don't leave any sections incomplete, as this might cause confusion or lead to parts of your wishes not being honored.
  • Don't use vague or ambiguous language that could be open to interpretation.
  • Don't neglect to sign and date the form, as an unsigned document may not be legally valid.
  • Don't forget to update the document after major life events, such as marriage, divorce, the birth of a child, or a significant change in health.
  • Don't fail to communicate your wishes to those involved in your healthcare, assuming that simply completing the form is sufficient.
  • Don't keep your living will so private that no one knows of its existence or cannot access it when needed.
  • Don't hesitate to revoke or revise the document if your healthcare preferences change.
  • Don't overlook the importance of selecting a trustworthy individual to act as your healthcare proxy, if applicable.
  • Don't disregard the option to include specifics about organ donation, if that is your wish.
  • Don't attempt to cover every possible medical scenario in detail, which can lead to an overly complicated and unmanageable document.

Misconceptions

When it comes to the Living Will form in Nebraska, several misconceptions commonly emerge. Addressing these misunderstandings is essential for individuals to make informed decisions regarding their healthcare preferences in situations where they cannot communicate their wishes. The following list aims to clarify these misconceptions.

  • Only for the elderly: People often believe that living wills are only necessary for older adults. However, any adult can face situations where they are unable to make medical decisions for themselves, making a living will important for adults of all ages.
  • Legally complex: There is a misconception that creating a Living Will is a legally complex process requiring an attorney's help. In truth, Nebraska's forms are designed to be straightforward and can be completed without legal assistance, although consulting an attorney can be beneficial for more complex estate planning.
  • Cost prohibitive: Another common misconception is that creating a Living Will is expensive. While drafting complex estate documents can be costly, Nebraska provides Living Will forms that individuals can complete on their own at little to no cost.
  • Covers all medical decisions: Some believe that a Living Will covers all medical decisions. In reality, it specifically addresses situations where the individual is in a persistent vegetative state, terminally ill, or in a similar condition where they can no longer communicate their wishes regarding life-sustaining treatment.
  • Overrides family decisions: There's a misconception that a Living Will completely overrides family decisions. While it does provide clear instructions to healthcare providers, families are often involved in discussions, especially in scenarios not specifically covered by the Living Will.
  • Permanent and unchangeable: Some think once a Living Will is created, it cannot be changed. Individuals can actually revise their Living Will at any time, reflecting their current wishes as long as they are of sound mind to do so.
  • Immediately effective: Another misconception is that a Living Will is effective as soon as it is signed. A Living Will becomes effective only under specific conditions, such as terminal illness or incapacitation, as determined by medical professionals.
  • Avoids probate: Finally, there's a belief that having a Living Will avoids the probate process for one's estate. While a Living Will is an essential part of advance directives concerning healthcare, it does not impact the distribution of an individual's assets after death, which is managed through a will or trust.

Understanding these misconceptions is crucial for individuals looking to make informed decisions about their healthcare directives in Nebraska. Knowing the facts can empower people to prepare adequately for the future, ensuring their medical wishes are respected.

Key takeaways

  • In Nebraska, a Living Will is an essential legal document that allows individuals to outline their preferences for medical treatment in situations where they are unable to communicate their wishes due to severe illness or incapacity.

  • Persons over the age of 19, or an emancipated minor, have the right to execute a Living Will in Nebraska, ensuring their healthcare decisions are respected even if they are no longer able to voice them.

  • Filling out a Nebraska Living Will requires you to clearly state your healthcare preferences, especially concerning life-sustaining treatments and end-of-life care. This includes decisions on the use of ventilators, feeding tubes, and other life-support measures.

  • To be legally valid, the Nebraska Living Will must be signed by the declarant in the presence of two witnessing adults who are not related to the declarant by blood, marriage, or adoption and do not stand to benefit financially from the declarant's death.

  • It's critical that the Living Will be notarized in Nebraska to ensure its validity, as this adds an additional layer of verification to the document.

  • Discussing your Living Will with your healthcare providers and family is advisable to ensure your wishes are well-understood and to reduce potential conflicts or confusion during critical times.

  • After completion, copies of the signed and notarized Living Will should be distributed to relevant parties. This includes your healthcare proxy (if you have appointed one), close family members, and your primary healthcare providers.

  • If your preferences about your medical treatment change, it is possible to revoke or amend your Nebraska Living Will. To do so, you must communicate your intent to revoke in writing or orally to your healthcare provider.

  • The Nebraska Living Will does not take effect immediately upon signing. It becomes active only when a physician certifies that you are unable to make or communicate your healthcare decisions.

  • Storage of the Living Will should be in a safe but accessible place. Additionally, consider registering your Living Will with a reputable online registry to ensure it can be easily accessed by healthcare providers when needed.

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Fact Number Detail
1 The Nebraska Living Will form is also known as an Advance Directive.
2 It is governed by the Rights of the Terminally Ill Act in Nebraska.
3 This document allows individuals to state their wishes regarding medical treatment in scenarios where they are unable to communicate.
4 It becomes effective only when the individual is incapacitated and diagnosed with a terminal condition by two physicians.