SIM Scenario Exchange

Palliative End Of Life Care

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



Karen Furlong, University of New Brunswick

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The patient lives in Shady Oaks – a long-term care home. Over the past few days his health has rapidly declined – their symptoms suggest a bowel obstruction. The patient is refusing to go to the hospital for acute intervention. The goal of this virtual simulation is to help you, as a future registered nurse, improve your competence in fulfilling the registered nurses’ responsibilities in caring for individuals at end of life in a long-term care home.

Learning Objectives:

Use therapeutic communication skills to negotiate plans of care at the end-of-life

Develop the ability to critically think when providing palliative end-of-life care (PEOL)

Develop competence in making resident-focused decisions that are evidence-informed

Respectfully deal with the death of a resident in a long-term care home

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.


110e, SIPS (Stitch Media)


Furlong K. Palliative End Of Life Care. 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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