Abstract
Patients with terminal illness in their final stages of life may contemplate their options for death and dying. There has been growing public interest and media attention regarding patient decision making and autonomy at the end of life. The article provides updated legal and ethical discussion about issues and trends associated with the assisted dying debate. A case study of a patient who was considering assisted dying via moving to the state of Oregon is presented. Practical strategies and resources for palliative care and hospice nurses who may have dialogue with patients relative to end-of-life concerns are described.