The document discusses several key aspects of family decision making when a family member has a chronic medical condition or disability: 1) Families struggle with decisions around futility of medical interventions and coming to terms with an uncertain or poor prognosis. 2) Caring for a child with special needs can greatly impact the entire family through increased stress, changes to family identity and relationships, and financial strain from medical costs. 3) Counselors can help families build resiliency by using techniques like empathy, reframing challenges in a positive light, encouraging positive self-talk, and teaching skills for effective coping.