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Advance directives: refusal of treatment or euthanasia?

Illustration for Advance directives: refusal of treatment or euthanasia?

Under a Minute

The recent explanation about advance directives invites a conversation that often remains pending. What care do you want later, who knows your wishes, and where can they be found? Different declarations have different legal consequences.

How Can We Help?

We help align your legal arrangements. For medical choices and treatment discussions, we refer you to your doctor.

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FURTHER EXPLANATION · 2 MIN READ

Start with what is important to you

The publication of 31 August 2026 draws attention to advance directives. The practical start is often smaller than a form: tell what you find important when you can no longer speak for yourself. Who should be aware of this? And which questions do you want to ask your doctor first?

An advance directive can record certain wishes for a later situation in which you can no longer express yourself. It is not a document that automatically regulates every possible medical or personal decision. Therefore, choose the declaration that fits your question.

A refusal and an euthanasia declaration differ

With a negative advance directive you can refuse certain examinations or treatments in advance for when you can no longer express your will. The description deserves attention: discuss with your doctor what a treatment entails and to which situation your refusal applies.

An advance euthanasia declaration has a different, limited scope. It can, under legal conditions, play a role in irreversible unconsciousness. It is not a general prior consent for euthanasia in cases such as dementia while the person is still conscious. Have your doctor explain what is legally and medically possible.

A document must also be found

Discuss with your doctor where the applicable declaration is kept and who receives a copy. The registration possibilities differ per declaration. For example, a negative advance directive cannot be registered with the municipality; informing your doctor and loved ones therefore remains essential.

Example: someone has written down wishes carefully, but the family only knows that there is “somewhere a folder”. Therefore, make a note for yourself where your current documents are and with whom you have discussed them. Do not share a stack of contradictory versions without clarifying which contains your current wishes.

Connecting medical wishes and legal planning

A conversation about care can also raise questions about your home, payments, and the people you want to protect. Bring those questions to Notariaat Wellens. We look at how your legal arrangements connect and which agreements still require clarification.

For the substantive discussion of treatments your doctor remains the contact point. You can write down some questions in advance and bring existing documents. The goal of such a conversation is that your choices are understandable for both yourself and the people who later have to take them into account.

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Illustrative images. Piano: J.S. Bach · variation 3 · piano: Kimiko Ishizaka · Open Goldberg Variations (2012) · CC0.

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