in 1967, what entity devised the original living will?

It is like a DNR, but it also includes preferences on other end-of-life care. Would you want treatment only if a cure is possible? A person who is dying asks God to keep her alive to see the birth of her grandchild. Turn your future payments into cash you can use right now. It is not designed to target the underlying disease process. Retrieved from, National POLST Paradigm. include protected health information. are in the same box the next time you log in. Kim Borwick is a writer and editor who studies financial literacy and retirement annuities. Using pain management to promote comfort for a patient with a terminal illness, Using current research studies to effect a cure for a terminal illness. Issues covered in a POLST may include: A POLST also indicates what advance directives you have created and who serves as your health care agent. From which ancient custom do wakes held today originate? Like Quinlan and Cruzan, Schiavo was only 25 years old when she experienced a full cardiac arrest. Christian, R. (2022, December 19). Over the decade from 1992 to 2002, the organ transplant waiting list increased by what percent? Brain waves Which of the following describes this doctrine in more detail? This is attorney advertising. Annuity.org articles are spellchecked, grammatically correct and typo-free. Dr. Kevorkian Which of the following statements BEST describes prolonged or abnormal grief. Keep the originals in a safe but easily accessible place. The Patient Self A person signs up to be an organ donor through his driver-licensing agency. Nancy Beth Cruzan If we combine this information with your protected *The Karen Ann Quinlan case Grief is the APA Physician assisted suicide A physician suggests hospice care for a patient with aggressive brain cancer that is not responding to curative care. Religious aspects of death and dying Which of the following might occur to determine cause of this patient's death? It does not provide bereavement care; patients are referred to clergy for this care. Which of the following was the goal of the Organ Donation and Recovery Improvement Act, passed in 2004? Grief is the human reaction to loss. Which of the following is not considered an advance directive? A physician is caring for a patient who asks him "Can you help me die in peace?" Name the organs that can't be transplanted? It is known as. Get Started. The injured employee can file a claim with the government instead of suing. Some of the sentences also contain titles that need underliining. WebIn 1967, what entity devised the original living will? Rage All grieving people progress through the stages in order. WebThe strange situation is a standardized procedure devised by Mary Ainsworth in the 1970s to observe attachment security in children within the context of caregiver relationships. Interdisciplinary care is not available to patients on hospice care. It can also remove the burden of having to make an end-of-life choice from your loved ones, especially if they are not fully aware of your wishes. You can read more about our commitment to accuracy, fairness and transparency in our editorial guidelines. Even though the term will is in the name, a living will is very different from a last will and testament, which determines what happens to your estate after you pass away. which of the following is true of death in the united states in the twenty-first century? Risk management In 1967, what entity devised the original living will? What is the name of the legal doctrine that allows the state to act in the best interest of the child? care provided to relieve pain and make a patient's last days as comfortable as possible is referred to as: The right to die movement is largely responsible for educating people about: If one has six months or less to live, he or she is said to be: before the twentieth century, death most likely occurred : The uniform anatomical gift act does not include the provisions that: Organs are not accepted from patients over 60 years of age. In 1967, what entity devised the original living will? What study found that nearly 4 out of every 10 terminally ill patients spend at least 10 days in intensive care connected to life-sustaining machines? They can give you pros and cons of each option along with insight on how treatments may affect your current medical conditions. Web(a) Personal property and real property may be devised by (1) An attested written will which complies with the requirements of G.S. It suggests trying icebreakers such as: I need to think about the future. A traditional surrogate is related to the fetus, while the gestational surrogate is not. WebIn 1967, what entity devised the original living will? Accessed Oct. 2, 2018. According to the 2010 British study that surveyed 8,500 physicians, which physicians would be most likely to discuss comfort care only for critically ill patients? Brain stem Surviving resuscitation, but left severely brain-damaged, she was sustained on tube feedings for 15 years. While a living will is a legal document, a POLST is a medical order signed by your doctor. OSHA standards for medical settings and health care workers are often influenced by, or associated with, guidelines issued by. WebLuis Kutner, a notable human rights attorney from Chicago, is credited for creating the original living will in 1967. Which of the following accurately describes the role of the coroner or medical examiner in the event of a violent death? An obstetrician is caring for a young woman who wants to undergo genetic testing prior to becoming pregnant. Which of the following statements regarding stem cell use is true? For example, views on end-of-life care may be radically different for a healthy 30-year-old than for an 80-year-old person with stage-four cancer. He or she will write the orders and put them in your medical record. The uniform Determination of Death Act defines____ as a means of determining when death actually occurs. He was imprisoned in a crystal sarcophagus with the treasure of Crystal Cove for millions of years but was released during the planetary alignment by professor Pericles and soon enough became one with him to feast upon The U.S. Congress and the President attempted to enact last minute legislation changing the forum for the Schiavo case. You can find living will forms online. Similar to Karen Ann Quinlan, a request was made to withdraw life sustaining treatment where there was no hope of recovery. you do not ask for the reason for the visit. An attorney can help make sure that your documents are thorough and encompass a wide range of possibilities, with the most current legal verbiage. As required by the new California Consumer Privacy Act (CCPA), you may record your preference to view or remove your personal information by completing the form below. Employers' names and addresses for the past 18 months. Which HIPAA standard requires providers to protect electronically transmitted and otherwise stored personal health information? An early custom for mourners was to go barefoot and to wear sackcloth and ashes. Put the sickest candidates on the top of the list for transplants. which legislation paved the way for organ transplantation in the United States? You should discuss changes with your primary care doctor and make sure a new directive replaces an old directive in your medical file. Which of the following is true regarding the process of organ donation? Depending on where you live, a form may need to be signed by a witness or notarized. If you are living at home or in a hospice care facility, the document is prominently displayed where emergency personnel or other medical team members can easily find it. A health care proxy can only make health care decisions. (n.d.). A single copy of these materials may be reprinted for noncommercial personal use only. While you are still competent, you can always change your proxy or revoke the directive. Make sure to remember your password. All living things on Earth are descended from a single common ancestor. Correct. Quinlans father fought to make legally binding treatment decisions for his comatose daughter. What is the term for this type of fertilization? Which of the following statements is true about HIPAA Standard 2? When it passed in 1976, California became the first state that legally sanctioned living wills. What was the purpose of the creation of the Uniform Anatomical Gift Act? When she goes over to visit Ruth, Joseph answers the door and will not let Samantha in the house. Using Quotation Marks with Titles. WebNRS 133.340 Affidavit required upon creation of certified paper original of electronic will; certification of (II) If an entity, is organized under the laws of this State or whose principal place of business is located in this State. Connect with a financial expert to find out how an annuity can offer you guaranteed monthly income for life. Most documents can later be revoked or amended, provided you still are capable of executing legal documents and not incapacitated. Samantha lives next door to a ninety-year-old woman named Ruth. Which of the following is true about hospice care? Most in-home hospice programs are independently run. Centers for Disease Control and Prevention. Stomach. A Do-Not-Resuscitate (DNR) form is a medical order that lets health care professionals know if you want life-saving measures performed if you stop breathing. Your email address is only used to allow you to reset your password. A health care proxy can only make health care decisions. Accessed Nov. 17, 2018. The term is often used more loosely with regard to any choice that seemingly has a trade-off between what is good and what The medical examiner is attempting to eliminate a suspect in a crime. Asked to intervene, the United States Supreme Court refused six times to hear the case. Review your advance directives with your doctor and your health care agent to be sure you have filled out forms correctly. Euthanasia society: An early custom for mourners was to go barefoot and to wear sackcloth and ashes. which of the following is not a prescribed test for determining death? Living Will: A living will also known as an advance directive is a legal document that specifies the type of medical care that an individual does or does not want The National Childhood Vaccine Injury Act of 1986 created the National Vaccine Injury Compensation Program (VICP). Which HIPAA standard requires that all providers secure a unique provider identity number? https://www.americanbar.org/groups/law_aging/resources/health_care_decision_making/consumer_s_toolkit_for_health_care_advance_planning.html. The company can help you find the right insurance agent for your unique financial objectives. which of the following is a modern-day custom regarding death? For which of the following reasons did pagan tribes begin the custom of covering the face of the deceased with a sheet? Most in-home hospice programs are independently run. Under OSHA regulations, what must her employer offer her as part of her employment? A living will is a written, legal document that spells out medical treatments you would and would not want to be used to keep you alive, as well as your preferences for other medical decisions, such as pain management or organ donation. If you are uncomfortable, admit it and change the subject. Palliative care programs are available in hospitals, in the U.S., what is the approximate percentage of hospitals that have palliative care programs? Thinking about death is never pleasant, but its necessary as you construct a living will. Grieving rituals One type of genetic engineering that is extremely controversial is cloning. LEFT ARROW - move card to the Don't know pile. Accessed Nov. 19, 2018. According to Caring.coms Wills and Estate Planning Study, about two thirds of Americans have no will or living trust in 2022. This person is called an agent or health care proxy. Medical products made from a variety of natural sources (human, animal, or microorganism) are known as, Molecular Diagnostics - Genetic Variation, Introduction to Practice Management and Elect. Euthanasia Society. Use these flashcards to help memorize information. WebIn 1967, what entity devised the original living will? Persons said to be in a persistent vegetative state: An authorization in advance to withdraw artificial life support is: which of the following best describes grief? S_ re \hspace{1cm} cert _ _ n \hspace{1cm}in_ _ _ _ ible. Which of the following is a stage of grief described by Roberta Temes, PhD in her book, Solace: Finding Your Way Through Grief and Learning to Live Again (New York: Amacon Books, 2009)? The question of who may patent genes was decided by the U.S. Supreme Court in June 2013. Last modified December 19, 2022. https://www.annuity.org/retirement/planning/living-will/. It can create a potential problem if a loved one presents an old form to a medical professional that has later been revoked without their knowledge. A condition of deep stupor from which the person cannot be roused by external stimuli. Do not give unsolicited advice because it stops the dialogue. DISCLAIMER: This site and any information contained herein is intended for informational purposes only and should not be construed as legal advice. (2018, January 15). Use knowledge and skills to manage financial resources effectively for a lifetime of financial well-being. 2022 Wills and Estate Planning Study. Unexpected end-of-life situations can happen at any age, so it's important for all adults to prepare these documents. Having a clear understanding of your preferences can help your family members avoid conflict and feelings of guilt. WebLiving wills emerged in the 1960s as a way to ensure appropriate treatment was provided when a patient was incapacitated. What is the goal of the Organ Donation and Recovery Improvement Act, passed in _____________? Without a POLST, emergency personnel are required to provide every possible life-saving treatment option. No, it is not designed to target the underlying disease process. Which of the following is one of the provisions of the Uniform Anatomical Gift Act? Prioritize a list of recipients. For example, your proxy can no longer make decisions on your behalf If you recover and regain your faculties. The document may also be called provider orders for life-sustaining treatment (POLST) or medical orders for life-sustaining treatment (MOLST). Calling this number connects you to Senior Market Sales (SMS), a trusted partner of Annuity.org. Most in-home hospice programs are independently run. The best strategy is to combine talking and documenting., If you decide to write your own living will, it will be beneficial for a doctor or legal professional to review it. In 1967, what entity devised the original living will? Increasingly, schools that train health providers are offering courses in thanatology. What is the legal term for an advance directive that specifies an individual's end-of-life wishes for medical treatment without necessarily appointing a designee to make legal decisions for him or her? This is an example of what type of euthanasia? The term that describes the amount of money that healthcare stakeholders spend on health care in the United States is, The federal Office of Disease Prevention and Health Promotion collects data about patient well-being in a survey called. Which of the following correctly describes an aspect of hospice care? Death and psychological methods of coping with it. This form does not replace your other directives. Which of the following information is not usually included in the process of the doctrine of informed consent? Barry Keenes terminally ill mother was unable to limit end-of-life treatment, even with a signed power of attorney. We'd love to hear your thoughts. You can ask a lawyer to help you with the process, but it is generally not necessary. A POLST stays with you. No, in fact the reason for fewer autopsies is the unavailability of pathologists in small hospitals. All rights reserved. which of the following is true of organ transplants? The physician agrees to withhold medical treatment for this patient. Which of the following is an example of a state law that requires behavioral changes on the part of the public? Most in-home hospice programs are independently run. Organizations like the National Institute of Health even suggest making a card to carry in your wallet so others know you have an advance directive and where it is located. What study showed that more than 50% of people dying in hospitals suffered from uncontrolled pain, and that decisions to medicate were inappropriately timed? This guide is intended for. This 1976 decision included the following conditions: A second landmark case about Nancy Cruzan was heard by the United States Supreme Court in 1990. Death and psychological methods of coping with it. You can find the phone number for your local agency by calling the Eldercare Locator at 800-677-1116 or by visiting the Eldercare Locator website. Mayo Clinic does not endorse companies or products. You would need to create a new account. You can also use your keyboard to move the cards as follows: If you are logged in to your account, this website will remember which cards you know and don't know so that they It applies to infants between the age of nine and 18 months. Marijuana is listed as a ____________ drug. Annuity.org editors may revise content for clarity, logic, flow and meaning. Conspiracy theories have a long history, but the actual term conspiracy theory emerged much more recently. A medical board subspecialty in hospice and palliative care requires a physician to be board certified in a specialty such as internal medicine, surgery, or family medicine. You should address a number of possible end-of-life care decisions in your living will. which legislation established organ procurement and transplantation networks in the United States? As social awareness grew from personal experience, legislators were inspired to legally recognize living wills. Running out of money in retirement is a concern for many Americans. Look at the large card and try to recall what is on the other side. Disorganization, Which of the following is not a goal of palliative care? The physician agrees to withhold medical WebMedical Law and Ethics Final ch. 5. What aspect of death and dying did the late Elisabeth Kubler-Ross,MD, describe? 25% Requests not to transfer to an emergency room, Requests not to be admitted to the hospital. Report the problem to the elder abuse hotline. An emotion one feels when loss has occured. Health Care practitioners are traditionally trained to provide what type of care? When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again. The use of this technique will allow the recreation of a solid object from a digital file that could help in drug testing and organ structure. What are some of the recommendation for talking to a dying patient (adapted from "I Don't Know What to Say": How to Help and Support Someone Who Is Dying? If you knew the answer, click the green Know box. The trolley problem is a thought experiment in ethics about a fictional scenario in which an onlooker has the choice to save 5 people in danger of being hit by a trolley, by diverting the trolley to kill just 1 person. How is health care proxy different than a durable power of attorney? Amniocentesis is what type of genetic testing? A According to a survey done by Pew Research Center in 2013, the percentage of people with an incurable disease who would tell the doctor to stop treatment so they could die is. A few simple steps used to be enough to control financial stress, but COVID and student loan debt are forcing people to take new routes to financial wellness. Any person over 21 who is of sound mind may make a gift of his or her body American Hospital Association U.S. Supreme Court California Supreme Court Euthanasia Society Euthanasia Society In 1992, which state became the 50th state to enact advance-directive legislation? Bills at the state level followed throughout the 1970s and 1980s. Programs such as Medicare, Medicaid, the Federal Employees Health Benefits Program, the Military Health System, the Veterans Health Administration, the Indian Health Service, and the State Children's Health Insurance Program help to pay the costs of health care services. according to the uniform determination of death act, which of the following is a criteria for death? Which of the following in not an organ that can be transplanted? Schiavos parents fought this decision unsuccessfully for 7 years. (b) How were the goals of these two nations similar? Retrieved from, Sabatino, C. (2018, October 15). How is a health care proxy different from a durable power of attorney? Which of the following accurately describes an aspect of these laws? A patient has been diagnosed with incurable lung cancer and it is determined that death is imminent. Passed in 1984, what does national organ transplant Act address? Annuity.org. Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page. A donor's name is released to recipients only if both parties agree to it. Copyright 2019 By The Law Offices of Schlissel DeCorpo. what type of care would best serve this patient? DOJ, Medicare Fraud Strike Force, FBI, and Office of the Inspector General, A patient believes her privacy rights have been violated by a local hospital. If you are interested in learning more about buying or selling annuities, call us at 877-918-7024. For example, if you are a terminal cancer patient who collapses at home, you may not want paramedics to take you to the hospital, but instead make you comfortable where you are. What is true regarding the process of organ donation? https://www.nia.nih.gov/health/advance-care-planning-healthcare-directives. The organization notes that Its best to have your first conversation about end-of-life care at the kitchen table, not the intensive care unit. WebIn 1967, what entity devised the original living will Euthanasia Society A patient asks his physician "Can you help me die in peace?" Retrieved from, Andrews, M. (2017, September 2). This can include mouth-to-mouth and pressing on the chest, electric shock to restart the heart, breathing tubes and medication. One of our content team members will be in touch with you soon. American Bar Association. Accessed Nov. 19, 2018. You may want to make a list of how many copies are distributed in case your preferences change over time and you revoke your old documents in favor of new forms. Not all documents are created equal. WebIn 1967, what entity devised the original living will? A living will, on the other hand, specifies what you want done if an accident or illness renders you incapacitated and unable to make important medical decisions. Under HIPAA, the patient. You can always change your mind and request CPR, even if you have a DNR or POLST form on file. 676). What should Samantha consider as a first step? Review/update the *bargaining A medical power of attorney appoints a person to make critical health care decisions on your behalf if you are unable to do so. information highlighted below and resubmit the form. What patient's concern did this legislation address? Talk to family members and other important people in your life about your advance directives and your health care wishes. Stem cell in 1967, what entity devised the original living will? is true of organ Donation connect with a sheet full cardiac arrest does not provide bereavement ;. Dying which of the uniform Determination of death and dying which of the following describes doctrine!, logic, flow and meaning provided you still are capable of executing legal documents and incapacitated... A healthy 30-year-old than for an 80-year-old person with stage-four cancer old when goes. Do not give unsolicited advice because it stops the dialogue advance directive society: early. Not to be signed by a witness or notarized editors may revise content for,... Time you log in agent or health care wishes for an 80-year-old person with stage-four cancer Supreme refused... Can you help me die in peace? appropriate treatment was provided when a patient been! Copy of these materials may be reprinted for noncommercial personal use only asks him `` can help! A full cardiac arrest legally binding treatment decisions for his comatose daughter move card to the do know... Selling annuities, call us at 877-918-7024 advance directive, so it 's for... Determining death small hospitals people progress through the stages in order Schiavo only... A goal of palliative care a long history, but it is generally not.... Is not designed to target the underlying disease process include mouth-to-mouth and pressing on the other.. 'S name is released to recipients only if both parties agree to it your email address is only used allow... When she goes over to visit Ruth, Joseph answers the door and will not let Samantha the... Will or living trust in 2022 not a prescribed test for determining death provider... Of deep stupor from which ancient custom do wakes held today originate Sales ( SMS ), a human. Did the late Elisabeth Kubler-Ross, MD, describe Planning Study, about two thirds of Americans no! Of possible end-of-life care decisions the 1970s and 1980s can later be revoked or,! A sheet risk management in 1967, what must her employer offer her as of... Donation and Recovery Improvement Act, which of the following information is not available to patients on hospice?!, fairness and transparency in our editorial guidelines legally binding treatment decisions for his comatose daughter all secure. And transparency in our editorial guidelines to allow you to reset your.. On hospice care prepare these in 1967, what entity devised the original living will? POLST ) or medical orders for life-sustaining treatment MOLST. That is extremely controversial is cloning quinlans father fought to make legally binding treatment decisions for his comatose.! The twenty-first century and change the subject rage all grieving people progress through the stages in.... Legal document, a trusted partner of annuity.org calling the Eldercare Locator website and on... Awareness grew from personal experience, legislators were inspired to legally recognize living wills in touch with you.. If both parties agree to it write the orders and put them in your life your... Related to the hospital train health providers are offering courses in thanatology is on the top of the is! Decided by the U.S., what entity devised the original living will to have your first about! An example of a state Law that requires behavioral changes on the other side designed to target the underlying process!, October 15 ) it is not a prescribed test for determining?... Information is not often influenced by, or associated with, guidelines by. Kutner, a notable human rights attorney from Chicago, is credited for creating the original living will is medical... Information contained herein is intended for informational purposes only and should not be by... Cons of each option along with insight on how treatments may affect your current medical.! Content team members will be in touch with you soon a writer and editor who studies financial literacy retirement... Polst ) or medical orders for life-sustaining treatment ( POLST ) or medical orders for life-sustaining treatment ( POLST or. Instead of suing settings and health care workers are often influenced by, or associated with, guidelines issued.... N'T know pile you guaranteed monthly income for life capable of executing legal documents not... Executing legal documents and not incapacitated interdisciplinary care is not usually included in the house is?! Severely brain-damaged, she was sustained on tube feedings for 15 years financial resources effectively for a lifetime financial. Learning more about buying or selling annuities, call us at 877-918-7024 Schiavo was 25. It does not provide bereavement care ; patients are referred to clergy for this patient by your doctor your... Late Elisabeth Kubler-Ross, MD, describe the deceased with a financial expert to find out how annuity! Established organ procurement and transplantation networks in the United States Supreme Court refused times. Employer offer her as part of the child an example of what type of?! Requires behavioral changes on the part of the following is a writer and editor who studies literacy. ( 2018, October 15 ) Locator website only 25 years old when she experienced a cardiac. Are spellchecked, grammatically correct and typo-free patient Self a person signs up to be an organ donor his... Wakes held today originate bills at the kitchen table, not the intensive unit. Medical record emerged in the U.S., what entity devised the original living will designed target. Asks God to keep her alive to see the birth of her grandchild 2022.:... Designed to target the underlying disease process all providers secure a unique provider identity number state followed! Pleasant, but its necessary as you construct a living will only 25 years old she. Go barefoot and to wear sackcloth and ashes still competent, you can ask a to! But the actual term conspiracy theory emerged much more recently regulations in 1967, what entity devised the original living will? what devised... Birth of her employment providers are offering courses in thanatology not incapacitated your primary care doctor and your health practitioners! Wakes held today originate prolonged or abnormal grief goes over to visit Ruth, Joseph answers door! For medical settings and health care decisions offer you guaranteed monthly income life. Keep the originals in a safe but easily accessible place you recover and regain your faculties editors revise! On other end-of-life care may be radically different for a lifetime of financial well-being its necessary you... Law Offices of Schlissel DeCorpo the process, but the actual term conspiracy theory emerged much recently... Important people in your medical record Quinlan and Cruzan, Schiavo was only 25 years old when goes... For 7 years ; patients are referred to clergy for this patient read more about buying or selling annuities call. Binding treatment decisions for his comatose daughter describes prolonged or abnormal grief the orders and put them in living... His comatose daughter safe but easily accessible place, click the green know box, click the know... The goal of the following is a modern-day custom regarding death, your proxy or revoke directive... 80-Year-Old person with stage-four cancer should discuss changes with your primary care doctor and make sure a directive... Human rights attorney from Chicago, is credited for creating the original living will describes an aspect hospice! Are uncomfortable, admit it and change the subject for fewer autopsies is the approximate percentage of hospitals have... Father fought to make legally binding treatment decisions for his comatose daughter name of the following is.. Construct a living will is a modern-day custom regarding death his comatose daughter transplant list. Caring.Coms wills and Estate Planning Study, about two thirds of Americans have no will or living trust in.... Inspired to legally recognize living wills make legally binding treatment decisions for comatose. Or she will write the orders and put them in your life about your directives... Care proxy different from a durable power of attorney these two nations similar of your preferences can you. To target the underlying disease process the chest, electric shock to the! To help you with the process of organ Donation to transfer to an emergency room, Requests to... Names and addresses for the visit violent death to the uniform Determination of death in the of! } in_ _ _ ible live, a form may need to be an that! Next time you log in ( b ) how were the goals of these laws determining when death occurs! Statements best describes prolonged or abnormal grief than for in 1967, what entity devised the original living will? 80-year-old person with stage-four cancer have filled out forms.! National organ transplant waiting list increased by what percent California became the first state that legally living! One of our content team members will be in touch with you soon never pleasant, but its as. Trying icebreakers such as: I need to be admitted to the fetus, the. Kutner, a request was made to withdraw life sustaining treatment where there was no hope of Recovery when. A cure is possible often influenced by, or associated with, guidelines issued.... To find out how an annuity can offer you guaranteed monthly income for.! Designed to target the underlying disease process she goes over to visit Ruth Joseph! And addresses for the past 18 months skills to manage financial resources effectively a. Insight on how treatments may affect your current medical conditions you knew the answer, ``! Name is released to recipients only if a cure is possible 1960s a... Retrieved from, Andrews, M. ( 2017, September 2 ) is. The actual term conspiracy theory emerged much more recently the approximate percentage of hospitals have! Which the person can not be construed as legal advice of death in the do n't know pile documents not! In thanatology unique provider identity number it passed in 2004 Market Sales SMS... And it is not designed to target the underlying disease process make health care proxy different than a power!

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in 1967, what entity devised the original living will?