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Guidelines for Hospice Eligibility

Care & Support Through the Stages of Serious Illness Guidelines for Hospice Eligibility It can be challenging to recognize when a patient could benefit from palliative care and Hospice services. This booklet describes clinical Guidelines for determining whether and when to refer a patient for palliative or Hospice care. Referrals & Admissions: (800) 930-2770. Table of Contents Identifying a Primary Hospice 1. Amyotrophic Lateral Sclerosis (ALS).. 2. 3. Cerebral Vascular Accident/Stroke or 4. Dementia/Alzheimer' 5. Heart 6. HIV 7. Huntington's 8. Liver 9. Lung 10. Multiple Muscular 12. Parkinson's 13. Renal Failure 14. APPENDIX 1 NYHA Functional Classifications APPENDIX 2 palliative performance Scale (PPS). APPENDIX 3 Functional Assessment Staging (FAST).

• Progressive decline in Palliative Performance Score (PPS)* • Weight loss not due to reversible causes and/or declining serum albumin levels • Dependence on assistance for two or more ADLs: feeding, ambulation, continence, transfer,

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