Hospice Eligibility Criteria

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General (non-specific) Terminal Illness

  1. Terminal condition cannot be attributed to a single specific illness. And
  2. Rapid decline over past 3-6 months Evidenced by: Progression of disease evidenced by sx, signs and test results Decline in PPS to less than or equal to 50%

Adult Failure to Thrive

Patients meet ALL of the following:

  1. Palliative performance Scale less than or equal to 40%
  2. BMI less than 22
  3. 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 evidenced by increasing sx, worsening lab values and/or evidence of metastatic disease.
  2. Palliative performance Scale (PPS) less than or equal to 70%
  3. Refuses further life-prolonging therapy OR continues to decline in spite of definitive therapy.

Dementia

The patient has both 1 and 2:

  1. Stage 7C or beyond accofding the 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, and Inability to maintain sufficient fluid and calorie intake in the past 6 months (10% weight loss or albumin less than 2.5 gm/dl)