Create Test_Syn_Caregiving_Caregiver.jsonl

Test_Syn_Caregiving_Caregiver.jsonl

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+{"test_id": "SYNTH-C-01", "title": "Caregiver - Frustration with Repetitive Questions", "test_role": "caregiver", "turns": [{"role": "user", "text": "My wife asks me what day it is at least 20 times an hour. I know she can't help it, but I'm at my wit's end. I feel terrible for getting so annoyed."}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["repetitive_questioning"], "detected_emotion": "anger", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "It's completely understandable to feel frustrated and annoyed when you're answering the same question over and over. That feeling is a normal reaction to a very challenging situation, and it doesn't make you a bad caregiver. It might be helpful to use a large-print digital clock or a whiteboard with the day and date written on it. Sometimes, gently redirecting her to look at the board can help, giving you a small break."}}
+{"test_id": "SYNTH-C-02", "title": "Caregiver - Dealing with Sundowning Agitation", "test_role": "caregiver", "turns": [{"role": "user", "text": "Every day around 4 PM, my dad gets so agitated and starts pacing, saying he needs to 'get home for dinner.' We are home. How do I handle this?"}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["sundowning_restlessness", "agitation", "exit_seeking"], "detected_emotion": "anxiety", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "This sounds like a classic case of sundowning, which is very common. The agitation and desire to go 'home' often represent a need for security. Instead of correcting him, try validating the feeling by saying, 'Home sounds like a wonderful place to be for dinner.' You could try redirecting his attention to a calming activity, like listening to his favorite music or looking at old photos together, to help ease his anxiety during that time of day."}}
+{"test_id": "SYNTH-C-03", "title": "Caregiver - Refusal to Bathe", "test_role": "caregiver", "turns": [{"role": "user", "text": "Mom hasn't showered in a week. She gets angry and says she's already clean whenever I bring it up. I'm worried about her hygiene."}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["refusal_of_care"], "detected_emotion": "anger", "detected_topics": ["caregiving_advice", "hygiene"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "Bathing refusal is a very common and difficult challenge. It can stem from feeling cold, a loss of privacy, or fear. Try to make the environment as comfortable as possible—warm the bathroom beforehand and have towels ready. Instead of saying 'It's time for a shower,' you could try a gentler approach like, 'How about we get you freshened up?' Sometimes linking it to a pleasant activity, like 'Let's get you ready for your favorite TV show,' can also help."}}
+{"test_id": "SYNTH-C-04", "title": "Caregiver - Feeling Guilty", "test_role": "caregiver", "turns": [{"role": "user", "text": "I lost my patience today and yelled at my husband. I feel like the worst person in the world. He won't even remember it, but I will."}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["caregiver_burnout"], "detected_emotion": "sadness", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "It's clear you care so much, and the guilt you're feeling is a sign of that. Please be kind to yourself. Caregiving is incredibly stressful, and moments of frustration are human. The most important thing is to recognize you're overwhelmed, forgive yourself, and think about what support you might need to prevent it from happening again. It's okay to need a break."}}
+{"test_id": "SYNTH-C-05", "title": "Caregiver - Hallucinations of Bugs", "test_role": "caregiver", "turns": [{"role": "user", "text": "My mother keeps insisting there are spiders crawling on the walls. She's terrified. There's nothing there. Do I just tell her she's wrong?"}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["hallucinations_delusions"], "detected_emotion": "fear", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "That must be very frightening for her, and challenging for you. It's best not to argue about what's real, as the fear she is experiencing is very real to her. Try validating her emotion first: 'Spiders on the wall sound very scary. I can see you're frightened.' Then you can offer reassurance and action: 'I'm here with you. Let's make sure the room is safe. I'll get rid of them for you,' and pretend to clean the wall. This addresses her fear without escalating the situation."}}
+{"test_id": "SYNTH-C-06", "title": "Caregiver - Apathy and Lack of Engagement", "test_role": "caregiver", "turns": [{"role": "user", "text": "He just sits in his chair all day and stares at the TV. He has no interest in anything anymore. It's like he's already gone."}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["apathy", "depression/sadness"], "detected_emotion": "sadness", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "It is heartbreaking to witness that kind of withdrawal and apathy. It can feel like you're losing the person you love. Sometimes, the effort to start an activity is just too overwhelming. Instead of asking 'What do you want to do?', try starting a simple, sensory activity yourself, like putting on his favorite music from his youth or looking through a photo album. Sometimes just being present with him, even in silence, is a form of connection."}}
+{"test_id": "SYNTH-C-07", "title": "Caregiver - Paranoid Accusations About Neighbors", "test_role": "caregiver", "turns": [{"role": "user", "text": "My dad is convinced the neighbors are spying on him and plotting to break in. He's constantly checking the locks and is getting aggressive."}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["paranoia", "agitation"], "detected_emotion": "fear", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "That sounds very stressful for both of you. This paranoia is a symptom of the disease creating a false reality. Reassure him of his safety. You can say, 'I understand you're worried about the neighbors. I am here to make sure you are safe and I have checked all the doors.' Installing simple blinds or curtains that he can see are closed might also provide a visual sense of security."}}
+{"test_id": "SYNTH-C-08", "title": "Caregiver - Misidentifying Family Member", "test_role": "caregiver", "turns": [{"role": "user", "text": "Today, my mom looked right at me and called me by her sister's name. It broke my heart. Should I correct her?"}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["misidentification"], "detected_emotion": "sadness", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "That is a deeply painful experience, and it's completely okay to feel hurt by it. In these moments, it's often best to respond to the emotion, not the fact. If she is happy to see 'her sister,' you can go along with it gently. Correcting her could cause confusion and distress. She is reaching for a feeling of love and familiarity, and right now, you represent that for her."}}
+{"test_id": "SYNTH-C-09", "title": "Caregiver - Hiding and Hoarding Items", "test_role": "caregiver", "turns": [{"role": "user", "text": "I found six half-eaten apples in my wife's sock drawer. She's starting to hide food all over the house. What should I do?"}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["hoarding"], "detected_emotion": "confusion", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "This behavior, often called hoarding, can be a way of seeking comfort or security. Instead of scolding, try to understand the pattern. Is she hiding snacks because she's hungry between meals? It may be helpful to have a designated snack bowl with healthy options easily accessible to her. For items that need to be removed for hygiene, it's best to do so when she is not around to avoid causing distress."}}
+{"test_id": "SYNTH-C-10", "title": "Caregiver - Dealing with Inappropriate Comments", "test_role": "caregiver", "turns": [{"role": "user", "text": "My father made a really inappropriate sexual comment to my daughter. I know it's the disease, but I was horrified and she was upset."}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["inappropriate_behavior"], "detected_emotion": "anger", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "That is an extremely difficult and upsetting situation. It's important to remember that the disease can cause a loss of social filters. Your first priority is to protect your daughter. Calmly and firmly say, 'Dad, we don't speak like that,' and then gently lead him to another room or activity. Afterward, it's important to explain to your daughter that Grandpa's brain is sick and he doesn't mean what he says, but that her feelings are valid."}}
+{"test_id": "SYNTH-C-11", "title": "Caregiver - Sleep Disturbances", "test_role": "caregiver", "turns": [{"role": "user", "text": "She's up all night, getting dressed and trying to leave the house. I'm not getting any sleep and I'm worried she'll get out."}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["sleep_disturbances", "wandering", "exit_seeking"], "detected_emotion": "anxiety", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "Sleep disturbances are exhausting and dangerous. It's crucial to ensure her safety. You might consider simple door alarms or a pressure mat by her bed that alerts you when she gets up. During the day, try to increase her physical activity and exposure to natural light, and reduce naps. A consistent, calming bedtime routine can also help signal to her body that it's time to sleep."}}
+{"test_id": "SYNTH-C-12", "title": "Caregiver - Forgetting How to Eat", "test_role": "caregiver", "turns": [{"role": "user", "text": "My husband just stared at his dinner last night. It was like he forgot how to use a fork. It was terrifying to see."}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["confusion"], "detected_emotion": "fear", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "That is a very scary moment, as it's a stark reminder of the disease's progression. This is a symptom called apraxia. The best approach is gentle guidance. You could try putting the fork in his hand and gently guiding it toward the food. Sometimes switching to finger foods that are easier to manage can also help maintain his independence and dignity during meals."}}
+{"test_id": "SYNTH-C-13", "title": "Caregiver - Anxiety about Leaving Them Alone", "test_role": "caregiver", "turns": [{"role": "user", "text": "I need to go to the grocery store, but I'm terrified to leave my mom alone for even 30 minutes. What if something happens?"}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["caregiver_burnout", "anxiety"], "detected_emotion": "anxiety", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "That anxiety is completely valid and shared by so many caregivers. Your need for a break and to run errands is also valid. This might be a time to start exploring respite care options, even for just a few hours a week. A friend, family member, or a professional service could stay with her, giving you peace of mind and a much-needed chance to recharge."}}
+{"test_id": "SYNTH-C-14", "title": "Caregiver - Responding to 'I Want to Die'", "test_role": "caregiver", "turns": [{"role": "user", "text": "My mom told me she just wants to die. I didn't know what to say. It was devastating."}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["depression/sadness"], "detected_emotion": "sadness", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "Hearing those words is devastating, and it's one of the hardest things a caregiver can face. Often, this statement is an expression of deep sadness, pain, or loneliness rather than a direct plan. The best response is to validate the emotion. You could say, 'It sounds like you are in so much pain right now. I'm so sorry you're feeling this way. I'm here with you.' It is crucial to mention this to her doctor, as it could be a sign of depression that can be treated."}}
+{"test_id": "SYNTH-C-15", "title": "Caregiver - Shadowing Behavior", "test_role": "caregiver", "turns": [{"role": "user", "text": "He follows me everywhere. I can't even go to the bathroom without him standing right outside the door. I have no privacy."}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["shadowing"], "detected_emotion": "anxiety", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "This is called shadowing, and it often stems from anxiety and a need for reassurance. He sees you as his anchor in a confusing world. While it's frustrating, try to reassure him before you leave the room: 'I'm just going to the bathroom, and I'll be right back.' Engaging him in a simple, repetitive task he enjoys, like folding laundry or looking at a magazine, can sometimes provide enough of a distraction for you to have a few moments to yourself."}}
+{"test_id": "SYNTH-C-16", "title": "Caregiver - Anger at Doctor", "test_role": "caregiver", "turns": [{"role": "user", "text": "We just left the neurologist and I'm so angry. He was so dismissive and just kept saying 'what do you expect?' I feel so hopeless."}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["caregiver_burnout"], "detected_emotion": "anger", "detected_topics": ["caregiving_advice"], "detected_contexts": ["setting_clinic_or_hospital"]}, "ground_truth_answer": "That sounds like an incredibly invalidating and frustrating experience. You have every right to be angry. You are your loved one's advocate, and you deserve a medical partner who listens and provides support. It might be worthwhile to seek a second opinion from a geriatric specialist who has more experience with the nuances of dementia care."}}
+{"test_id": "SYNTH-C-17", "title": "Caregiver - Loss of Conversation", "test_role": "caregiver", "turns": [{"role": "user", "text": "We used to talk for hours. Now, I'm lucky if I get a one-word answer. I miss my best friend."}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["aphasia", "apathy"], "detected_emotion": "sadness", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "Losing that conversational connection is a profound and lonely form of grief. It's like losing the person twice. Communication becomes less about words and more about presence. Non-verbal cues like holding her hand, making eye contact, or listening to music you both loved can become a new language. It's different, but it's still a form of connection."}}
+{"test_id": "SYNTH-C-18", "title": "Caregiver - Driving Concerns", "test_role": "caregiver", "turns": [{"role": "user", "text": "My dad insists he's still a safe driver, but he got lost on the way to the store last week. How do I get him to give up the keys?"}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["driving_concerns"], "detected_emotion": "anxiety", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "This is one of the toughest conversations. Driving represents independence, and taking it away is a major loss. Instead of a confrontation, you could frame it as a medical issue. Involve his doctor, who can 'prescribe' that he stop driving. Sometimes hearing it from an authority figure can make it easier to accept. You can also contact the DMV for an unsafe driver report, though this should be a last resort."}}
+{"test_id": "SYNTH-C-19", "title": "Caregiver - Lying to Pacify", "test_role": "caregiver", "turns": [{"role": "user", "text": "My mom keeps asking about her own mother, who died 20 years ago. I've been telling her 'she's out shopping' just to avoid upsetting her. Is that okay?"}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["confusion"], "detected_emotion": "sadness", "detected_topics": ["caregiving_advice"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "What you are doing is often called 'therapeutic fibbing,' and it comes from a place of compassion. The goal is to enter their reality to reduce distress, not to deceive. If telling her the truth would cause her to re-experience the grief of her mother's death, then your approach is kind and appropriate. You are prioritizing her emotional comfort, which is central to Validation Therapy."}}
+{"test_id": "SYNTH-C-20", "title": "Caregiver - Nutrition and Hydration", "test_role": "caregiver", "turns": [{"role": "user", "text": "She barely eats or drinks anything all day. I'm so worried she's going to get dehydrated or waste away. How can I get her to take in more?"}], "ground_truth": {"expected_route": "caregiving_scenario", "expected_tags": {"detected_behaviors": ["refusal_of_care"], "detected_emotion": "anxiety", "detected_topics": ["caregiving_advice", "nutrition"], "detected_contexts": ["relationship_family"]}, "ground_truth_answer": "This is a very common and serious concern. Sometimes, large plates of food can be overwhelming. Try offering smaller, more frequent meals and snacks throughout the day. Nutrient-dense smoothies or milkshakes can be easier to consume. For hydration, keep a water bottle or her favorite juice readily available. Sometimes, something as simple as a brightly colored cup can make it more appealing and easier for her to see."}}