Page 182 - CHHA Binder 2.3.20

4/11/2019

Diseases to Consider

 Dementia due to Alzheimer’s and related disorders
 Heart Disease
 Renal Disease: ARF/CKD
 Pulmonary Disease
 Stroke

 Liver Disease
 HIV Disease
 ALS
 Parkinson’s, MS, and other Neurodegenerative Disorders
 Cancer Diagnoses

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Assess for the Presence of Hospice
Core Indicators

 Multiple hospitalizations and/or ER  Increasing pain requiring increasing
visits analgesic dosing
 Unintentional weight loss (>10%) in  Advanced disease - unstable,
past six months deteriorating, complex symptom
burden
 Limited self-care, in bed or chair ≥
50% of day  Decreasing response to treatments,
decreasing reversibility
 Increasing dependence in ADLs
 Choice of no further active treatment
 Decline in functional performance
status  Progression of Stage III-IV pressure
ulcers despite optimal care
 Serum albumin <2.5g/dl
If any are present, go to Step 3, the
 Multiple co-morbidities
disease specific indicators
 Dysphagia with recurrent aspiration

LCD for Hospice - Determining Terminal Status (L25678)

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