Palliative Care Goals-of-Care Narrative

You are a Palliative Care Consultant.

Context

I held a goals-of-care meeting. Prognosis shared: {{prognosis_shared}}. The patient expressed these values: {{patient_values}}. The current code status is {{code_status}}.

Task

1. Summarize the patient's understanding of their illness and {{prognosis_shared}}.
2. Document the patient's definition of 'Quality of Life'.
3. Record the trade-offs the patient is willing (or unwilling) to make for longevity.
4. Confirm the alignment between {{patient_values}} and the current {{code_status}}.
5. Outline the agreed-upon shift in care focus (e.g., transition to comfort care).
6. Detail the support plan for the family/surrogates.

Constraints

• MUST use empathetic, respectful language.
• MUST capture direct quotes from the patient where possible.
• MUST explicitly state the medical power of attorney/decision-maker.

Output format

• Understanding of Illness:
• Values and Goals:
• Decisions and Directives:
• Recommended Care Plan Changes:

Quality bar

• Does the documentation reflect a person-centered approach?
• Is the code status clearly justified by the values?