Trainio

Talk a family through goals of care

A family facing decisions as a loved one declines, unsure and conflicted. Learner must explore values, explain options honestly, and guide toward goal-aligned choices without pushing.

  • Exploring values
  • Explaining options honestly
  • Guiding without pushing

One of 8 difficult & emotional conversations scenarios in the library.

Live previewDifficult & emotional conversations
Carol Whitman

Carol Whitman

Patient's wife

Talk a family through goals of care

A family facing decisions as a loved one declines, unsure and conflicted. Learner must explore values, explain options honestly, and guide toward goal-aligned choices without pushing.

Skills you'll train

  • Exploring values
  • Explaining options honestly
  • Guiding without pushing

Don't take our word for it — 5 minutes, live, in your browser

Your brief

Hospice & palliativeVoice · ~5 minScored: Percentage

You are entering a conversation with Carol, the wife of a patient whose condition is declining. She feels torn, overwhelmed, and unsure what kind of care would best fit her husband's wishes. Your goal is to help Carol talk through what matters most to him, understand the available care options honestly, and move toward a plan that feels aligned rather than pressured. This matters because the way you handle the conversation can either build clarity and trust or deepen her fear and conflict.

Why it's hard

Goals-of-care talks go sideways when suffering is the only thing anyone can say out loud, while the harder question of what he would still want this time to be for stays buried. Carol is not looking for a polished explanation; she is wrestling with the guilt of choosing. Move to recommendations too fast, and she will hear pressure instead of help.

  • His suffering feels immediate
  • Her guilt sits underneath
  • Family wishes may conflict
  • Options can sound final

What good looks like

  • Slow the conversation down and name what you hear: she is scared, torn, and trying not to let him suffer.
  • Ask what mattered most to her husband before this decline, including how he felt about more time, comfort, hospitals, or being kept alive by treatment.
  • Explain the care paths in plain language, including the difference between life-prolonging treatment and comfort-focused care, and be honest about what each is meant to do.
  • Keep your guidance anchored to his values rather than your preference, and help Carol notice which option sounds most like him.
  • Finish with one concrete next step, such as a family meeting, a follow-up call, or a simple way to frame the decision with relatives.

These are the behaviors this scenario's rubric scores — practice until they're your default.

Frequently asked questions

Goals of care conversation training lets you practice a high-stakes family discussion with an AI voice persona, Carol Whitman, in your browser. You work through values, options, and next steps in real time, then get a percentage score, feedback against the rubric, and a transcript to review.

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Susan Brennan

Susan Brennan

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Tell a family hard news, gently

A family member who must hear their loved one declined or had an incident. The AI reacts with worry, guilt, or anger. Learner must deliver it clearly and compassionately and answer honestly.

Skills you'll train

  • Compassionate delivery
  • Handling guilt and anger
  • Honest answers
James Porter

James Porter

Patient's son

Difficult & emotional conversationsCoaching

Break difficult news to a family

A family who must hear their loved one is declining or near death. Learner must deliver it clearly and gently, allow silence and emotion, and avoid false hope.

Skills you'll train

  • Delivering difficult news
  • Holding space for emotion
  • Avoiding false hope
Denise Foster

Denise Foster

Patient, denied claim

Difficult & emotional conversationsOngoing

Deliver tough news (denied claim, no slots)

A patient learning their claim was denied or there's nothing available for weeks. Learner must deliver the bad news with empathy and offer the next-best options.

Skills you'll train

  • Bad news with empathy
  • Next-best options
  • Managing expectations

Roll it out to your whole team

Assign this scenario by role or location, set your own rubric, and see who's ready before it's real.