"That is so, even if, as it appears in the case, the likely consequence of giving effect to Mr A's wishes ... is that he will die," the judge said.
The document Mr A signed also stated he would refuse any blood transfusions or storage of his own blood for a later transfusion.
The ruling comes ahead of a landmark case in the WA Supreme Court to establish whether a quadriplegic man has a right to die.
The West Australian today reported that Christian Rossiter, who lives in a Marangaroo bursing home, has been helped in his case by euthanasia campaigner Phillip Nitschke.
Brightwater nursing home CEO Penny Flett confirmed to the newspaper that the company would go to court to determine whether it could legally cut off the 49-year-old's food supply.
Mr Rossiter was hit by a car and is now fed through a tube directly into his stomach. He told the newspaper his life was a living hell.
By Bellinda Kontominas, Sydney Morning Herald, through WAToday
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