Voluntary Assisted Dying in Aged Care

The role of the Registered Nurse

Voluntary assisted dying (VAD) is now part of Australia’s end-of-life care landscape, bringing new responsibilities — and challenges — for aged-care nurses. This session unpacks what VAD means in practice, clarifying the legal, ethical, and professional obligations of registered nurses. Learn how to respond confidently when residents raise the topic, understand your rights around participation or conscientious objection, and ensure compassionate, lawful care in every situation. 
CPD HOURS: 0.5
 Registration Year 2025/2026

Course Content

Voluntary assisted dying (VAD) is now a lawful end-of-life option in most Australian jurisdictions and represents one of the most significant changes to aged-care nursing in recent years. For registered nurses, understanding the intersection between legal frameworks, ethical responsibilities, and compassionate care is essential. This course draws on the End of Life Law Toolkit (ELDAC, 2024) to explain what VAD means in practice, how it coexists with palliative care, and the professional boundaries nurses must uphold when caring for residents who explore or pursue this option.

VAD enables eligible adults to choose to end their life with medical assistance under strict safeguards. It exists alongside, not instead of, palliative care, and many residents who consider VAD are already receiving end-of-life support. Nurses are often the first professionals approached when the topic arises. Responding appropriately requires an understanding of jurisdiction-specific legislation and organisational policy. In most states, nurses may not raise VAD as an option but can provide factual information or refer the person to an authorised practitioner when asked. Clear, compassionate communication and accurate information are central to ethical practice.

Each state and territory has its own legislation defining who may access VAD, who may participate, and what procedures must be followed. In some jurisdictions—such as Queensland and the ACT—registered nurses can administer VAD medication if trained and authorised. Regardless of participation, nurses must always comply with documentation, reporting, and safety requirements.

Ethically, nurses are guided by the NMBA Code of Conduct to practise with respect, integrity, and accountability. Supporting a person’s right to make lawful choices does not necessarily mean personal endorsement of those choices. Nurses must balance respect for autonomy with their own moral beliefs, communicating openly with their team and residents about their position. Conscientious objection is a professional right, but it carries a responsibility to ensure that residents’ lawful access to care is not impeded.

Not all aged-care services participate in VAD, and policies vary widely. Nurses should familiarise themselves with their organisation’s stance, declare any conscientious objection early, and ensure continuity of care for residents who choose VAD. Even when opting out, nurses remain responsible for providing general nursing, comfort, and palliative care.

The emotional impact of VAD can be considerable. Nurses may experience moral distress or uncertainty and should seek supervision, debriefing, or peer support when needed. Ongoing reflection and education help sustain professional resilience and ethical clarity in this evolving area of practice.

Voluntary assisted dying presents both a challenge and an opportunity for the nursing profession. It requires sound legal literacy, ethical awareness, and compassionate communication. By staying informed, reflective, and professionally accountable, nurses can ensure that residents receive care that honours both their rights and the nurse’s professional integrity.

Reference:
End of Life Law in Australia (ELDAC). (2024). Voluntary assisted dying in aged care: Roles and obligations of registered nurses. Retrieved from https://www.eldac.com.au

Disclaimer: This content is based on the ELDAC factsheet “Voluntary assisted dying in aged care: Roles and obligations of registered nurses” and reflects the educator’s interpretation for professional learning purposes. 

Why this Session may be Relevant to your Work

Voluntary assisted dying (VAD) is now part of the legal framework of end-of-life care across most Australian jurisdictions, meaning nurses in all care settings — particularly aged care — are increasingly likely to encounter residents, families, or colleagues who raise the topic. Whether or not a nurse personally participates, understanding the law, ethical obligations, and scope of practice is essential to providing safe, lawful, and compassionate care.

Learning Outcomes

In this session, you will:
  • Demonstrate an understanding of the legal and professional responsibilities of registered nurses in relation to voluntary assisted dying (VAD) within aged-care settings.
  • Apply ethical reasoning and professional judgement when responding to residents or families who raise voluntary assisted dying as an option.
  • Integrate organisational policy, jurisdictional legislation, and professional standards to provide lawful, safe, and compassionate care to residents involved in VAD processes.
  • Reflect on personal beliefs and professional values to manage moral distress, maintain professional boundaries, and provide person-centred care regardless of participation status.

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Sue Walker

RN, BN, BN (ADMIN), MPHC, MACN
Sue is the director and co-founder of the Nurses for Nurses Network. Sue is a key contributor to the online education platform Nursing CPD – a Continuing Professional Development platform to assist Nurses in meeting their annual CPD requirements.
As a Registered Nurse, Sue holds Degrees in both Nursing and Health Administration, a Master’s Degree in Public Health, and more...