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MORGANTOWN, W.Va. – Virgie Dorinzi has little acceptance in “living wills” and added abstracts that say her aunt should be accustomed to die affably if her brittle affection stops beating.

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But a new “do-not-resuscitate” card, active by a physician, is abating Dorinzi’s aunt and hundreds of added West Virginians who do not appetite to be active aback they are aing to death. Fifteen added states accept agnate behavior and, appear Nov. 1, Washington accompaniment will accompany the trend with a “No CPR” armlet for the terminally ill.

“If you alarm 911, their assignment calls for them to resuscitate. You can’t angle aback and say this woman has a active will and you can’t do that,” said Dorinzi.

Dorinzi’s aunt is 64 and deaf. She has a continued history of affection trouble; her doctor has recommended adjoin resuscitation.

“I’m not abiding that it’s activity to be an accessible or difficult choice, but you accept to do what the accommodating wants, and she doesn’t appetite activity on a respirator,” Dorinzi said.

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People can accomplish their wishes accepted in active wills, but emergency crews are still adapted to accomplish lifesaving techniques. The cards, however, admittance crews to let the accommodating die afterwards acknowledged liability.

Begun by Montana in 1991, accompanying behavior accept back been accustomed in Arizona, Colorado, Florida, Georgia, Illinois, Maryland, New Mexico, New York, Pennsylvania, Rhode Island, Tennessee, Utah, Virginia, Washington, West Virginia and Wyoming.

Arizona has the best advanced affairs in the country, according to Dr. Ken Iserson, administrator of the Arizona Bioethics Affairs at the University of Arizona.

Although some states, such as Virginia and Washington, absolute the recipients to terminally ill patients, anyone in Arizona can accept a card, including children.

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“We acclimated to get three to four patients from breadth nursing homes a anniversary in our hospital who were acutely dead. It was bright they would not accept capital resuscitation and yet were brought in,” Iserson said. “We haven’t had one of those types of patients appear in the accomplished year.”

Ann Fade, administrator of acknowledged casework for New York-based Best in Dying, said her bureau recommends the cards for terminal patients, breakable and aged patients, and “anybody who’s in poor health.”

The civic nonprofit accumulation does not acclaim the cards for advantageous bodies who could survive a affection attack.

“All the states crave that a physician assurance the anatomy and that’s absolutely activity to force bodies to allocution to the doctor and accomplish abiding they’re an adapted applicant for it,” Fade said.

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The cards resulted from emergency medical technicians and others on ambulance crews affected to alleviate bodies who acutely would not benefit, said Drew Dawson, arch of the Emergency Medical Service Bureau for the Montana Administration of Bloom and Environmental Services.

In West Virginia, back the wallet-sized cards became accessible in backward August, West Virginia University’s Centermost for Bloom Ethics and Law has issued added than 1,800 to health-care accessories statewide.

“It tells me that a lot of aged bodies and a lot of chronically ill bodies would not appetite to abide cardiopulmonary resuscitation and best acceptable would not appetite to be kept animate with activity abutment aback they’re terminally ill,” said Dr. Alvin Moss, administrator of the center.

But Fade fatigued that bodies should not get the affair abashed with assisted suicides.

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“They’re not allurement to be killed,” she said. “They’re allurement to be let abandoned and that’s actual different.” ——————————————————————- Washington’s `No CPR’ bracelet

In Washington state, a affairs acceptance terminally ill patients to debris resuscitation will activate Monday.

The accompaniment Administration of Bloom will accumulation forms which, aback active by a accommodating and a physician (or two, if the being is assuredly unconscious), will acquiesce the accommodating to abrasion a “No CPR” artificial bracelet. CPR stands for cardiopulmonary resuscitation.

Emergency medical workers accept been brash to account the bracelet, the bloom administration says.

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Although alone terminally ill patients will be accustomed to accept the bracelet, the bloom administration agreed to accede acceptance nonterminal patients to abrasion it afterwards an clamor from right-to-die groups, nursing-home association and anxious citizens.

An advising accumulation is now belief that issue.

Seattle Times agents anchorman Carol Ostrom

Copyright (c) 1993 Seattle Times Company, All Rights Reserved.

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