At least here in the states (I don’t know about Canada), one can make all those decisions ahead of time. If you do not want nourishment given that can be part of the over all orders that one establishes with ones doctor and power of attorney for health care.
If you want somethings and not others, say so. if you really and truly want nothing except palliative care, say so. Have the discussion with your doc. Make appropriate plans and put them in a legal document. Let your family know. That’s all it takes
Apparently that's not all it takes. Did you read the article? This woman in question had a living will. The nursing home shamefully refuses to honor it.
If you want somethings and not others, say so. if you really and truly want nothing except palliative care, say so. Have the discussion with your doc. Make appropriate plans and put them in a legal document. Let your family know. That’s all it takes.
I am right now in the process of drawing up a directive that will state that I will be given only palliative care if I come down with certain ailments (and severe dementia is one of them). I choose to not live under those circumstances.
Such a legal document followed by a trusted person with power-of-attorney can make it stick. It is my understanding that if a hospital will not follow those instructions, then the person with power-of-attorney can go to a court and make them do it.