When To Call Hospice
If you say yes to one or more of the indictors below, it may be time to get a Free Hospice Evaluation:
- Recent weight loss or decreased appetite?
- Frequent hospital, ER and/or MD visits?
- Increase in infections and/or skin breakdown?
- Increased pain or other uncontrolled symptoms?
- Changes in behaviors and/or interests?
- Require more assistance with dressing and bathing than before?
Indicators Based On Diagnosis:
ALZHEIMERS (Dementia is NOT an Appropriate DX)
(FAST=Functional Assessment Staging Test)
[ ] Assistance to ambulate or bed bound/ all ADL’s.
[ ] Frequent infections or skin breakdown
[ } Incontinence
[ ] No consistent meaningful communication
[ ] Additional medical conditions may be necessary.
[ ] Decision not to elect or is stopping treatment
[ ] Cancer with poor prognosis and/or metastases
CHF / HEART DISEASE (NYHA Class IV)
[ ] Not a candidate for surgical procedures
[ ] Treating with diuretics, vasodilators, ACEI, Hydralazine and Nitrates.
[ ] Angina / Dyspnea / Syncope
[ ] Edema
COPD/ LUNG DISEASE
[ ] Oxygen dependent /dyspnea at rest
[ ] Progression of end-stage pulmonary disease
[ ] 88% =< on room air
[ ] Resting heart rate of 100 per min.
[ ] INR > 1.5
[ ] Serum Albumin < 2.5 gm/dL
[ ] Malnutrition/ Wasting
[ ] Diagnosis of end-stage liver disease
[ ] Muscle decline has become wide spread
[ ] Increased weakness
[ ] Rapid progression of symptoms
[ ] Difficulty with breathing and swallowing
[ ] Reduced speech and vocal volume
[ ] Problems sleeping
[ ] Diagnosis of end-stage kidney disease
[ ] Creatinine clearance < 10 cc/min
[ ] Election of no dialysis
[ ] Physician diagnosis of non-recovery
[ ] Weight loss of 10% in last 6 months
[ ] Infections in last 6 months/skin breakdown
[ ] No meaningful verbal communication
[ ] Difficulty Swallowing
[ ] Creatinine > 1.5 mg/dL
[ ] No brain stem function, pain or verbal response
It is often not a single diagnosis that represents the terminal prognosis of the patient, but the combined effect of several conditions that make the patient’s condition terminal. For more information on Hospice,