At least 10% unintentional weight loss in the past six months (or 5% in the past three months, etc.)Ī. Recurrent fever after antibiotics, or antibiotics are declinedį. Should have had at least one of the following in the 12 months preceding hospice referral:Į.Speech limited to echoing speech, repetitive phrases or fewer than six intelligible words in a given day or intensive interview No consistently meaningful verbal communication Unable to walk without extensive assistance, unable to propel wheelchair with hands or feetĮ. Need for assistance with dressing, bathing and toiletingĭ. TIP: What could the patient do 12 months ago that he/she can no longer do? What could the patient do six months ago that he/she can no longer do? Cancer DiagnosisĬ. If associated dementia, requires around the clock care, is incontinent of bowel and bladder, and needing assistance with dressing, bathing and toileting New need for assistance with dressing, bathing, toileting, transferring, hygiene tasks, ambulation or feeding due to disease progressionĭ. Needing increased care due to disease progressionĬ. Unable to work or carry on normal activityī. Increasing tumor markers (PSA, CA-125, CEA, etc)Ī. Chronic or worsening open pressure woundsį. Weakness to the point of falling or severely limiting activity Hypotension (SBP < 90, or postural hypotension) Agitation/delirium requiring antipsychotic medications Dysphagia with recurrent aspiration and/or decline in oral intakeĮ. Declining mid-arm circumference and/or mid-calf circumferenceĮ. Unintentional weight loss (typically, 10% of body weight or more in preceding six months)ī.
0 kommentar(er)
