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Live-or-die documents proposed for chronic patients

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The signed forms would help to reinforce a common-law principle

Terminally ill patients and those in a persistent vegetative state should be able to state in advance on a form whether they wish to live or die, the Law Reform Commission proposed yesterday.

They could be 'reasonably assured' that their decisions would be carried out, the commission said.

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In a report on decision-making for patients with no hope of recovery, the commission argued against a legislative approach, but proposed issuing a form for people to sign, stating their intentions when they are still healthy.

The form would help reinforce a common-law principle under which individuals may, while capable, give directions on their future health care once they no longer have the capacity to make such decisions.

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The lack of an agreed form had created doubts over whether patients' wishes would be carried out, the commission said. A draft standard form issued by the commission yesterday would allow people to direct doctors on whether to resuscitate them. It would require the presence of two witnesses, including a medical practitioner. The commission called on the government to promote the practice.

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