Questions to ask when choosing a Wayfinder
Wayfinders are independent professionals who specialize in helping individuals and families navigate the practical, emotional, and relational aspects of medical aid in dying (MAID).
Medical aid in dying is more than a legal or medical process. It can involve coordinating with multiple providers, making difficult decisions, preparing loved ones, arranging practical and physical support, and adapting when circumstances change. A Wayfinder can help you navigate these moments with knowledge, compassion, and respect for your choices.
Every Wayfinder brings their own experience, approach, and style of support. It can be helpful to schedule a few conversations before choosing someone. The questions below may help you understand what to expect and determine whether a particular Wayfinder is the right fit for you and your family.
1. Experience With Medical Aid in Dying
Medical aid in dying is a specialized area of end-of-life care. Ask about the Wayfinder's experience supporting individuals and families through the process.
How many people have you supported through MAID?
What have you learned from that experience?
How do you stay current on Vermont's law and practices?
What kind of professional or peer support do you have?
2. Coordination, Navigation & Preparation
One of a Wayfinder's greatest strengths is helping people navigate a complex system. Ask how they work alongside physicians, hospice, pharmacists, and other members of your care team.
Can you help coordinate communication and planning among providers?
Is there availability for a physician visit within the time frame I need?
What do I need to do to prepare?
Which parts of the preparation process can you help with?
What happens if plans or timelines change?
3. Location, Timing & Logistics
MAID may unfold over weeks or months, and practical circumstances can affect where and when things happen.
Is this location the best option for me in terms of logistics and available resources?
How do you help with scheduling and transportation?
How available are you for questions and support?
Do you travel, and if so, what are the arrangements?
What happens if I need additional support?
4. Services & Scope of Practice
Every Wayfinder offers something a little different. Ask what services are included and, just as importantly, what falls outside their role.
Services may include planning meetings, family support, advance care planning, attending medical appointments, bedside presence, caregiver support, and guidance when plans need to change. Ask:
What do you do, and what don't you do?
What services are included in your fee?
Can you attend medical appointments or provide bedside support?
Can you help support caregivers and family members?
5. Physical Support & Accessibility
Consider what you and your loved ones may need to be comfortable and safe.
What medical equipment or other resources might I need?
Can you help coordinate hospice or other physical support?
Are accommodations accessible for my needs?
How can the needs of family and friends be considered as part of the plan?
6. Emotional, Spiritual & Family Support
MAID can bring a wide range of emotions and may affect the entire family. Ask how the Wayfinder approaches emotional, relational, and spiritual needs.
How do you support me and my family emotionally?
Do you provide or coordinate spiritual support?
How do you work with family members who have different feelings or perspectives about MAID?
How do you help keep my wishes and values at the center?
7. Commitment to Client Autonomy
Medical aid in dying is a deeply personal decision. A Wayfinder should support you in making informed choices that reflect your own values, goals, and circumstances.
Ask how they respond when family members, healthcare providers, or others have differing perspectives. The goal should be to provide information and support without directing your decision.
8. Cost & Financial Considerations
Ask about the full range of expenses so you and your family can make an informed decision.
What are your fees?
What services are included?
Are there additional costs for travel, extended support, or other services?
What other expenses should I anticipate?
Is this something my family and I can afford?
9. Making the Time Meaningful
The practical aspects of MAID are important, but so are the opportunities to live fully in the time that remains. Ask:
How can you help me make my final days with family and friends as rich and meaningful as possible?
Can you help us think about meaningful gatherings, rituals, conversations, or other ways of spending our time together?
How do you support family and friends during this time?
10. The Unknown: When Things Don't Go According to Plan
No matter how carefully you prepare, circumstances can change.
Ask:
What happens when things don't go according to plan?
What if my health or timeline changes unexpectedly?
What if a provider, appointment, medication, or other part of the process is delayed?
What haven't I asked about that I should know?
How will you help me and my family adapt?
Finding the Right Fit
The relationship matters. Pay attention to how you feel during your conversations with prospective Wayfinders.
Do you feel heard? Do you feel respected? Does this person listen carefully, communicate clearly, and help you feel more grounded rather than more overwhelmed?
After asking these questions, trust your instincts.
The right Wayfinder is someone who brings both experience and compassion. They should help you feel informed, respected, and supported while honoring your autonomy every step of the way.