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How To Work With Hospice


    Admission to the Hospice program requires supporting documentation of a qualifying diagnosis. While not all of the following criteria need to be met for admission, listed below are some guidelines for the most commonly used diagnoses. Among the many other qualifying diagnoses are Parkinson’s, MS, ALS and AIDS.


  • Pain
  • Anorexia
  • Weight Loss, Malnutrition
  • Anxiety
  • Cell Type
  • Metastatic Disease
  • Seeking Comfort Measures
  • !!!!!!!!!!!!!!!!!!!!
  • Dyspnea at Rest
  • Oxygen Dependent
  • Steroid Dependent
  • Resting Tachycardia
  • Weight Loss, Malnutrition
  • Responding Poorly to Meds
  • Refusing to Take Meds
  • Frequent Exacerbation
  • !!!!!!!!!!!!!!!!!!
  • Recurrent CHF
  • Arrhythmia
  • Responding Poorly to Meds
  • Refusing to Take Meds
  • History of MI
  • Dyspnea at Rest
  • Oxygen Dependent
  • Class IV NY Heart Association
  • !!!!!!!!!!!!!!!!!!
    Classification: inability to carry out physical activities without discomfort.
  • Frequent TIAs
  • Persistent Vegetative State less than 3 Days Secondary to CVA
  • Dysphagia, Aspiration
  • Pneumonia
  • Weight Loss, Malnutrition
  • Less Than 70 Years Old
  • Recurrent Infections
  • Post-Stroke Dementia
  • !!!!!!!!!!!!!!!!!!
  • FAST 7A: Dependent with ADLs, Incontinent
  • Inability to Communicate Properly
  • Recurrent Infections
  • Decubitus Ulcers
  • Dysphagia, Aspiration Pneumonia
  • Weight Loss, Malnutrition
  • !!!!!!!!!!!!!!!!!!
    End-Stage HIV/AIDS
  • Patient is Not Responding to Highly Active Antiretroviral Therapy (HAART)
  • CD4 Count less than 50 /mm3
  • Viral Load greater than 100,000 Copies /mm3
  • History of Successive or Recurrent Opportunistic Infections
  • Continued Weight Loss and Weakness
  • !!!!!!!!!!!!!!!!!!
    Debility Unspecified
  • Significant Disability
  • Body Mass Index (BMI) below 22kg/m2
  • Low Serum Albumin/Hct/Creatinine
  • Presence of Medical Comorbid Conditions of Sufficient Severity to Warrant Medical Treatment.
  • Effective 2013 The Centers for Medicare & Medicaid Services no longer recognizes Debility Unspecified as a primary hospice diagnosis. Patients who exhibit a variety of conditions should be referred for hospice care with the primary diagnosis that is most contributory to the patients overall decline.