SIM Scenario Exchange

Palliative Care at Home: Supporting Client’s Decisions

Contributed on July 4, 2022, last updated July 21, 2022.



Tammie McParland , Nipissing University

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The patient is a 78-year-old widow. They had end-stage chronic obstructive pulmonary disease. They have been receiving care at home and has visiting nurses coming to their home. They undergo treatment for their end-stage COPD at home which is time consuming and involved. They find it exhausting. Their husband died 6 months ago, and they were diagnosed with end-stage COPD shortly after.

Learning Objectives:

Discuss the importance of communication in understanding and supporting decisions made by clients.

Articulate the relevance of role modeling compassionate and supportive care to client and family members in managing essential conversations that may be difficult.

Evaluate the impact of client decisions on the health care plan and adjust the care plan accordingly.

Simulation Modality:

Virtual gaming simulation / virtual patient


This simulation’s scenario and script were formally peer-reviewed by two external institutions, then the final simulation was pilot tested by several students on a student testing committee then as part of the Virtu-WIL Student Program’s rollout.


109, Affinity Learning


McParlan T. Palliative Care at Home: Supporting Client’s Decisions. Simulation resource published by Simulation Canada; 2022. Available from

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Target Learners






Undergraduate / post-secondary

Fields / Disciplines:

Palliative & end-of-life care

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