Episode 91: A simulated goals of care conversation

In this episode of Critical Care Scenarios, Brandon and Bryan discuss the art and science of having difficult conversations with family members of critically ill patients, particularly regarding goals of care and end-of-life decisions. They emphasize the importance of clear communication, understanding the patient's values and functional status, and aligning with other medical teams. They role-play a sample conversation with a family member, discussing prognosis, treatment options, and the patient's potential quality of life, and also discuss the importance of shared decision-making, avoiding medical jargon, and recognizing the emotional challenges involved in these discussions. They also share resources for improving communication skills in critical care settings.