Elevator systems and methods of use including an elevator car located within an elevator shaft, at least one sensing device arranged within the elevator car, an elevator controller arranged to control at least one of an operating condition and at least one feature within the elevator car, and a computing system in communication with the at least one sensing device and the elevator controller, wherein the computing system is arranged to detect a passenger state of a passenger within the elevator car and configured to control the operating conditions and features within the elevator car based on the detected passenger state.