- Dyspnea O2 at rest & no artificial ventilation.
- Severe loss of ambulation & normal speech.
- Difficulty swallowing
- Loss of ADL’s
- Palliative Performance Scale value of <40%
- Inability to maintain hydration and caloric intake with one of the following:
- Weight loss of >10% in 6months or >7.5% in last 3 months
- Serum albumin of <2.5 gm/dl
- Current Hx of pulmonary aspiration not responsive to speech therapy
- Sequential calorie counts documenting inadequate caloric/fluid intake
- Dysphagia sever enough to prevent pt. from continuing fludis/food necessary to sustain life
1. Diagnosis confirmed through pathology or radiology.
2. Patient no longer receives curative treatment.
3. There is evidence of end-stage and/or metastatic disease.
- Frequent UTIs.
- Frequent respiratory infections.
- Multiple hospital admissions or ER visits.
- Unexplained weight loss >10%.
- Loss of appetite.
- Withdrawal from the environment.
- Unhealing decubiti.
- Unexplained or refractory temperatures.
- Hb<10, Alb <2.5
- Disabled and requires considerable assistance and medical care.
- Symptoms of multiple organ failure.
* CMS no longer accepts Failure to Thrive or debility as a principal diagnosis beginning Oct. 1, 2014.
Please call Hospice to discuss criteria for other end-stage diagnoses at 315-265-3105.