Arkansas Code Title 20. Public Health and Welfare § 20-17-214. Who may execute written request for another

(1) A legal guardian of the patient, if one has been appointed;

(2) In the case of an unmarried patient under the age of eighteen (18), the parents of the patient;

(3) The patient's spouse;

(4) The patient's adult child or, if there is more than one (1), then a majority of the patient's adult children participating in the decision;

(5) The parents of a patient over the age of eighteen (18);

(6) The patient's adult sibling or, if there is more than one (1), then a majority of the patient's adult siblings participating in the decision;

(7) Persons standing in loco parentis to the patient; or

(8) A majority of the patient's adult heirs at law who participate in the decision.

(b)(1) Even if an advance directive that includes a directive to withhold nutrition or hydration, or both, is signed by a person under this section, if the terminally ill patient requests nutrition or hydration, his or her wishes shall be honored.

(2) Unless the use of artificial means is specifically requested, a patient's request for nutrition or hydration, or both, shall not be honored by use of artificial means if doing so would require the insertion of any apparatus into the patient's body.