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 13 difficult & emotional conversations scenarios in the library.

AI roleplay scenario · Hospice

Carol Whitman

Carol Whitman · Patient's wife

“I’m scared we’re going to make the wrong choice for my husband. Everyone keeps asking what we want, but I don’t even know where to start.”

Talk a family through goals of care

You are the hospice or palliative care professional speaking with Carol Whitman, whose husband is declining and whose family is conflicted about the goals of care.

Skills you'll train

  • Exploring values
  • Explaining options honestly
  • Guiding without pushing

Your brief

Hospice & palliativeVoice · ~5 minScored: Percentage

You are the hospice or palliative care professional speaking with Carol Whitman, whose husband is declining and whose family is conflicted about the goals of care. Carol needs help making sense of options while honoring her husband's values and wishes. Guide the conversation toward a shared, goal-aligned next step without pressuring her or treating uncertainty as failure.

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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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

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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.