Patients and Families

PROCESS

Currently, only the provincial medical assistance in dying clinical team is authorized to provide medical assistance in dying within regional health care facilities. The provincial medical assistance in dying clinical team is able to facilitate medical assistance in dying throughout the province and can work alongside your regular health care team.

Accessing an assisted death is a process that usually takes at least two weeks. Before anyone is able to receive medical assistance in dying, they must be assessed to see if they are eligible. This process is required by law and ensures the patient is aware of all the care options available to them and that they have the information needed to make an informed decision.

Currently the process* for accessing medical assistance in dying in Manitoba involves:

  1. Connecting with the provincial medical assistance in dying clinical team.
    • This can be done by the patient, a family member, friend or a health care provider
  2. Assessments for eligibility
    • The law requires two independent assessments for eligibility which the provincial medical assistance in dying clinical team can arrange
    • In Manitoba these assessments are done by a team made up of a physician, nurse and social worker
    • The assessments can be performed in a hospital, clinic or at the patient’s home and can occur before or after the written request (see below)
  3. Written Request
      • For patients unable to write, another adult who meets the criteria of a proxy can sign the request on the patients behalf
    • Please note: The third page of the request form can only be completed after the first assessment for eligibility
  1. There must be a minimum of 10 clear days between the date the request is signed and the date medical assistance in dying is provided.
    • For example, if the request is signed on October 1st (day 0), the earliest date the patient could receive medical assistance in dying would be on October 12th, the day after the 10 day waiting period.
  1. Preparing for a medically assisted death
    • If the patient decides to proceed with medical assistance in dying, the patient and the physician(s) involved will arrange a time and place. Medical assistance in dying can be provided at home and/or in a health care facility.
    • At the time medical assistance in dying is provided, the patient must be competent and provide consent.
    • The physician(s) involved will provide or administer the medications, monitor the patient, confirm the patient has died and complete the required documentation including the Registration of Death and Medical Certificate of Death (commonly referred to as the death certificate).
  1. The patient is free to change their mind at any time including at the time medical assistance in dying is provided.
*Please note that this process may differ for those patients in a faith based facility.