Palliative Care

Palliative documentation that respects the conversation

Goals of care, symptom management, family meetings — ScribeMDPro preserves the words that matter.

Palliative care documentation has one non-negotiable requirement: preserve the goals-of-care conversation and the family meeting narrative in the patient's and family's own words. Paraphrase is not enough — the specific phrasing patients use about acceptable outcomes, unacceptable losses, and treatment preferences is the substrate on which care decisions are built. ScribeMDPro was configured for palliative care with verbatim preservation of GOC content as the default, structured symptom burden capture, and family-meeting templates that respect the multi-participant nature of these encounters.

Documentation challenges we solve

  • GOC conversations lose clinical value when paraphrased
  • Family meetings involve multiple participants with different perspectives to preserve
  • Symptom burden requires structured capture across pain, dyspnea, nausea, fatigue and mood
  • Prognostic communication must be documented for continuity

What clinicians gain

  • Verbatim preservation of GOC and family-meeting content by default
  • Structured symptom burden capture across the standard palliative domains
  • Family-meeting template with participant attribution
  • Prognostic communication captured as a dedicated section

How it works

  1. Step 1
    Start ambient capture

    Open ScribeMDPro before the palliative care encounter and start recording — the patient never has to talk to a device.

  2. Step 2
    Focus on the patient

    Conduct your normal history and exam. Have the conversation naturally — the AI preserves it in the patient's own words rather than paraphrasing.

  3. Step 3
    Auto-drafted note

    A structured SOAP note appears seconds after the visit ends, formatted for your specialty.

  4. Step 4
    Review, sign, export

    Edit inline, copy to your EMR, download as PDF, or push through supported integrations.

Example SOAP output

S: 72yo M with metastatic pancreatic cancer, ECOG 3, admitted for symptom management. Family meeting held today. Patient states 'I don't want to be in the hospital any more. I want to be home with my family.' Wife concurs. Adult children (2) present, in agreement.
Symptoms: Pain 4/10 (was 7/10) on morphine PCA. Nausea controlled. Fatigue prominent. Dyspnea 3/10 at rest.
A: Metastatic pancreatic cancer with clear preference for home-based hospice care.
P: Discussed hospice enrollment; family agreeable. Contacted community hospice. Titrate to oral opioid regimen for home. Discharge planning for tomorrow.

Illustrative only. Clinicians retain final responsibility for the record.

Frequently asked questions

Does it preserve GOC conversations verbatim?

Yes. Verbatim preservation is the default for GOC and family-meeting content — paraphrase is avoided by design.

How does it handle family meetings?

Family-meeting templates support participant attribution and verbatim capture of key statements.

Can it capture symptom burden?

Yes. Pain, dyspnea, nausea, fatigue and mood are captured as structured domains.

Does it work in hospice settings?

Hospice visits are supported with abbreviated templates suitable for high-frequency check-ins.

Related pages

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