This is a Life Prolonging Procedures Declaration, to be used in the State of Indiana. It is a statutory form requesting that life support and procedures be used if the Declarant becomes ill and can not make the decision verbally at that time.
The Indiana Life Prolonging Procedures Declaration — Life Support (ILPPD-LS) is a legal document that outlines the wishes of an individual regarding the use of life-sustaining medical treatment. This document is designed to ensure that an individual’s wishes are honored and that their healthcare team is informed of their health care goals and preferences. The ILPPD-LS allows individuals to make informed decisions about their medical care while protecting their rights to make these decisions. The ILPPD-LS covers a variety of life-sustaining treatments, including artificial nutrition and hydration (feeding tube), cardiopulmonary resuscitation (CPR), mechanical ventilation, dialysis, and intravenous fluids. The document also outlines the individual’s wishes regarding the use of other treatments, such as antibiotics, chemotherapy, and other medications. The ILPPD-LS is available in two versions: the Standard Life Support Directive and the Advanced Life Support Directive. The Standard Life Support Directive outlines the individual’s wishes regarding the use of life-sustaining treatments, such as artificial nutrition and hydration, cardiopulmonary resuscitation, mechanical ventilation, dialysis, and intravenous fluids. The Advanced Life Support Directive offers more detailed information about the individual’s wishes and preferences, such as the preferred treatment settings and the use of additional treatments, such as antibiotics and chemotherapy. The ILPPD-LS is a legally binding document that must be signed by two witnesses and notarized in order to be valid. It is important to ensure that the ILPPD-LS is up-to-date and accurately reflects the individual’s current wishes regarding their medical care.
