Goals-of-care conversations and advance care planning for children — branching viva

You are the paediatric registrar running goals-of-care encounters across a serious-illness service: an adolescent with relapsed cancer, a technology-dependent child with no plan, and a critically ill child in PICU. The examiner will probe the structure of the conversation, the evidence for advance care planning, prognostic disclosure, and the limits of partnership in disagreement and emergency.