Criteria to determine if a patient may be eligible for hospice are not concrete for the most part. The following guidelines are utilized to determine eligibility to be admitted to hospice or to continue to remain on hospice. Signs of clinical progress of a terminal disease and overall functional decline of a patient are the cornerstone of this determination and are essentially outlined through these sets of criteria.
Hospice-Determining Terminal Status
Clinical Variables (Listed below). No specific number needs to be met, but more wight given to the first 3 sets of criteria to predict a prognosis of 6 months or less.
Alternatively, Non-disease specific guidelines PLUS disease specific guidelines need to be met to determine eligibility for hospice.
Presence of secondary diagnosis should be considered as they may increase the likelihood of prognosis of 6 months or less.
I. Clinical Variables:
2. Decline in performance scales :Karnofsky Performance Status (KPS) or Palliative Performance Score (PPS) from 70% or less due to progression of disease.
3. Increase ER visit, doctor visits, or hospitalization related to hospice diagnosis
4. Progression on the FAST scale for dementia patients to greater than 7A.
5. Progression on dependence of additional ADLs.
6. Progressive stage 3-4 pressure ulcers despite adequate care.
II. Non-disease Specific Baseline Guidelines:
Comorbidies that may contribute to prognosis of less than 6 months if present
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