Planning for an assisted death

If the person is eligible for assisted dying, there are several decisions to make, including decisions about their medical care and what matters to the person and their whānau at the end of life. The attending medical or nurse practitioner will provide advice and support. 

The attending medical or nurse practitioner will encourage the person to talk to their whānau about their plans and decisions. This planning will likely take place across several conversations, and the person and their whānau can ask questions or for more information if needed.

When the attending medical practitioner tells the person they are eligible, they will talk about possible dates and times for the assisted death to take place. 

The attending medical practitioner will give advice based on the person’s prognosis (how long it is likely they have left to live). There may also be practical factors to consider, such as if the person has whānau who needs to travel to see them before they die. 

The person will choose the date and time with support from the attending medical practitioner.

The person has a choice of four methods for the administration of the medication, which are set out in the Act. 

The attending medical or nurse practitioner can administer the medication, by either an intravenous (IV) injection or orally (through a feeding tube). 

The person can take the medication themselves by either triggering the IV or taking it orally. If the person chooses to take the medication themselves, the attending medical or nurse practitioner must be present to support the process. 

The attending medical or nurse practitioner will discuss all options and make sure the person understands them. They will also explain what will happen on the day of the assisted death. 

Some of the options may not be appropriate or possible depending on the person’s medical condition. The attending medical or nurse practitioner may give the person advice on what is most suitable for them. The person will be given time to consider and decide.

Most people choose to die at home, if this is possible. The attending medical or nurse practitioner will travel to the person to provide the assisted death. 

The person may live in a place where assisted dying is not possible or appropriate, such as a care facility that does not agree with nor provide assisted dying. In this case, the person’s attending medical or nurse practitioner, with support from the Assisted Dying Service Team, will provide advice on other options.

The person can choose whether they would like whānau or other people to be at their assisted death. Some people might choose to have a cultural or spiritual leader with them as well. 

The person can also choose to have certain rituals or practises before or after the medication is administered. The person and their whānau can plan this together and choose rituals or practises that are important to them and their culture or beliefs. For example, some people might choose to have a karakia or prayer, or to play music or read something that is special to the person.

The person’s attending medical or nurse practitioner will talk to the person about these plans and decisions as part of preparing for the day of the assisted death. This helps ensure everyone is clear on what will happen and that the person’s choices are respected and upheld.

• More information about planning.
• You can also get more details in our information sheets.
• Related areas: Palliative care.