hospice guidelines for determining prognosis

Introduction

General guidelines: (see more specific guidelines)

• clinical progression of disease
  • multiple Emergency department visits or inpatient hospitalizations
  • Karnofsky performance index < 50
  • dependence in at least 3/6 basic activities of daily living (bADL)
  • progression past stage 7 of functional assessment scale
• recent impaired nutritional status
  • unintentional & progressive weight loss of > 10 lbs
  • serum albumin < 2.5 mg/dL
• frailty itself is not a hospice qualifying diagnosis

More specific terms

• hospice guidelines for determining prognosis, amyotrophic lateral sclerosis (ALS)
• hospice guidelines for determining prognosis, dementia
• hospice guidelines for determining prognosis, heart disease
• hospice guidelines for determining prognosis, HIV
• hospice guidelines for determining prognosis, liver disease
• hospice guidelines for determining prognosis, pulmonary disease
• hospice guidelines for determining prognosis, renal disease
• hospice guidelines for determining prognosis, stroke & coma

Additional terms

• albumin in serum/plasma
• basic activities of daily living (bADL, Katz)
• hospice
• hospice worksheet for determining prognosis, general guidelines, all diagnoses
• Karnofsky performance index (palliative performance scale)
• weight loss