The following links provide further information about medical assistance in dying:
- Criminal Code of Canada as amended by Bill C-14, 1st Sess, 42nd Leg. Canada, 2016
- Legislative Background: Medical Assistance in Dying
- Legislative Background: Medical Assistance in Dying (Bill C-14) – Addendum
- Government of Canada Report of the Special Joint Committee on Physician-Assisted Dying
- Canadian Medical Association Principles-based Recommendations for a Canadian Approach to Assisted Dying
- Canadian Association of Psychosocial Oncology (CAPO) Position Statement on MAID
- The College of Physicians & Surgeons of Manitoba MAID Update
- College of Registered Nurses of Manitoba: Medical Assistance in Dying
- Contains MAID Guideline for Manitoba Nurses and RN(NP)s MAID Practice Direction
- Statement from the College of Pharmacists of Manitoba
- Manitoba Association of Social Workers MAID Information Summary
- Manitoba Health: Palliative Care
- Includes links to Regional Health Authorities, information about hospice and palliative care beds, an explanation of the Palliative Care Drug Access Program, Advanced Care Planning and Health Care Directive tools and information about mental health and federal benefit programs.
PDF resources available on this site
- Printable information pamphlet for patients
- Medical Assistance in Dying Patient Request Record (Manitoba)
- Manitoba Medical Assistance in Dying Overview for Health-Care Providers
- Shared Health Medical Assistance in Dying Policy
- MAID Complaint Resolution Protocol
- MAID Transfer Protocol
- Canadian Association of MAiD Assessors and Providers Resources
- Includes links to frailty and other assessment scales, Clinical Practice Guidelines and articles
- MAID Education Modules hosted on the LearningHub site for Provincial Health Services Authority of British Columbia.
- For clinicians, prescribers and nurses
- Canadian Virtual Hospice
- Educational resources, discussion forums, articles and tools for patients, families and healthcare providers
- For loved ones and healthcare providers
- Council of Canadian Academics Medical Assistance in Dying Progress Report
- Government of Canada End-of-life care
- Includes information about palliative care, medical assistance in dying, and options and decision making at end of life
Physician perspective – Dr. Kim Wiebe
Dr. Kim Wiebe, the administrative lead of the Provincial MAiD Clinical Team, describes what medical assistance in dying is, who can provide it, who is eligible for it and how it’s being provided in Manitoba. She details the process for medical assistance in dying in Manitoba, focusing on the MAiD team, review process, written request and provision of MAiD.
Message for Nurses from Lori Lamont
Lori Lamont, Chief Nursing Officer with the WRHA, speaks to the role of nurses in assessing and relieving pain and suffering emphasizing the value of therapeutic discussion. She outlines the professional responsibilities of nurses related to their own knowledge of MAiD, sharing information and supporting informed decision making. In addition, she acknowledges conscience based objection and suggests a process for reflecting on values and ensuring patients receive appropriate care.
Conscience Based Objection – Jennifer Dunsford
Jennifer Dunsford, Director of Ethics for the WRHA, defines conscience based objection and the obligations that every health-care provider has related to medical assistance in dying. She emphasizes the value of therapeutic communication in context of assessing and relieving suffering and recognizes the trust a patient must have in a health-care provider to bring up assisted dying with them. In addition, the three steps that must occur after a patient has asked about assisted death: acknowledge, respond & convey are described.
Team Nursing Perspective – Erin Little
Erin Little, Client Care Coordinator with the MAiD Team, describes the nursing role including: triage of patient requests, participation in reviewing for eligibility and provision of MAiD as well as bereavement care for families. She describes a values assessment process for nurses considering which portions of the MAiD process they are comfortable participating in and emphasizes that the conversations nurses have with their patients around suffering, symptom management and informed choice don’t need to change.
Social Work Perspective – Fred Nelson & Megan McLeod
Fred Nelson and Megan McLeod, social workers with the provincial MAiD clinical team, talk about providing support to patients, families and healthcare providers as patients consider MAID as an option. They reflect on supporting patients and families through difficult conversations about emotions, personal and family history, anticipated futures, navigating complicated relationships, suffering and the meaning of suffering and goals of care. In addition, they reflect on the value of speaking with a patient’s existing health-care team to maintain continuity of care and support them through new and difficult situations related to MAiD.
Pharmacy Perspective – Shawn Bugden
Shawn Bugden, Associate Professor, University of Manitoba College of Pharmacy, describes the role of pharmacists in palliative and end of life care and what impact MAiD might have on their practice. He notes that most pharmacists in Manitoba are unlikely to be asked to dispense medications for MAiD but acknowledges the crucial role pharmacists already have in end of life discussions with patients and their families. Included in this video are suggestions for navigating conscience based objection and the professional obligations of pharmacists.
Lean In – Mike Harlos
Dr. Mike Harlos, Medical Director, WRHA Palliative Care, provides strategies for health-care providers to use in difficult discussions with their patients. He provides specific suggestions for introducing difficult topics and responding to unexpected questions. A helpful article, Sit Down, Lean In, written by Dr. Harlos describes strategies for engaging with those who are suffering.
Speech Language Pathology – Caitlin Buchel
Caitlin Buchel, Speech Language Pathologist with the MAiD Team, describes the role of the speech language pathologist (SLP) in evaluating a patient’s communication abilities and supporting a patient with significant communication impairment. This may include strategies to support their comprehension and expression or acting as a communication intermediary. She acknowledges the responsibility of SLPs to help those who have difficulty communicating be heard because so often they are not.