- 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