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Hospice Card
Hospice Eligibility Criteria
Hospice Eligibility Criteria
A hospice is a program designed to care for the dying and their special needs. Among these services all hospice programs should include:
(a) Control of pain and other symptoms through medication, environmental adjustment and education.
(b) Psychosocial support for both the patient and family, including all phases from diagnosis through b
A hospice is a program designed to care for the dying and their special needs. Among these services all hospice programs should include:
(a) Control of pain and other symptoms through medication, environmental adjustment and education.
(b) Psychosocial support for both the patient and family, including all phases from diagnosis through bereavement.
(c) Medical services commensurate with the needs of the patient.
(d) Interdisciplinary "team" approach to the patient care, patient and family support, and education.
(e) Integration into existing facilities where possible.
(f) Specially trained personnel with expertise in care of the dying and their families.
Hospice Eligibility Criteria
Hospice Eligibility Criteria
Hospice Eligibility Criteria
GENERAL (NON-SPECIFIC) TERMINAL ILLNESS
1. Terminal condition cannot be attributed to a single specific illness.
2. Rapid decline over past 3-6 months evidenced by: Progression of disease evidenced by sx, signs & test results
Decline in PPS to < 50%
Involuntary weight loss >10% and/or Albumin < 2.5 (helpful)
ADULT FAILURE TO THRIVE
Pati
GENERAL (NON-SPECIFIC) TERMINAL ILLNESS
1. Terminal condition cannot be attributed to a single specific illness.
2. Rapid decline over past 3-6 months evidenced by: Progression of disease evidenced by sx, signs & test results
Decline in PPS to < 50%
Involuntary weight loss >10% and/or Albumin < 2.5 (helpful)
ADULT FAILURE TO THRIVE
Patient meets ALL of the following:
- Palliative performance Scale < 40%
- BMI < 22
- Pt refusing enteral or parenteral nutrition support or has not responded to such nutritional support, despite adequate caloric intake.
CANCER
Patient meets ALL of the following:
1. Clinical findings of malignancy with widespread, aggressive or progressive disease as evidence of metastatic disease.
2. Palliative performance Scale (PPS) < 70%
3. Refuses further life-prolonging therapy OR continues to decline in spite of definitive therapy.
Supporting documentation includes:
Hypercalcemia > 12
Cachexia or weight loss of 5% in the past 3 months
Recurrent disease after surgery/radiation/chemotherapy
Sings and sx of advanced disease (e.g. nausea, requirement for transfusions, malignant ascites or pleural effusion, etc.)
DEMENTIA
The patient has both 1 and 2:
1. Stage 7C or beyond according to the FAST scale.
AND
2. One or more of the following conditions in the 12 months:
Aspiration pneumonia
Pyelonephritis
Septicemia
Multiple pressure ulcers (stage 3-4)
Recurrent Fever
Other significant condition that suggests a limited prognosis
Inability to maintain sufficient fluid and calorie intake in the past 6 months. (10% weight loss or albumin < 2.5 gm/dl)