Clinical Hospice Guidelines by Diagnosis: The Hospice Eligibility Reference Guide
Patients are eligible for hospice care when a physician makes a clinical determination that life expectancy is six months or less if the terminal illness runs its normal course.
These guidelines—provided as a convenient tool and not as a replacement for a physician’s professional judgment—help physicians determine when their patients meet clinical guidelines for hospice eligibility for life-limiting illnesses.
ALSIn end-stage ALS, two factors are critical in determining prognosis: ability to breathe and ability to swallow.
Alzheimer's and DementiaWhen patients with dementia or Alzheimer’s can no longer move around, get dressed, bathe, or speak, they may be eligible for hospice care.
COPD and Lung Disease
One of the major characteristics that a COPD patient may be hospice-appropriate is dyspnea at rest or with minimal exertion.
Hospice care for heart disease addresses a wide range of symptoms, including shortness of breath, chest pain, weakness, functional decline and the management of fluid status.
HIV and AIDS
Low CD4 counts, decreased performance on the KPS scale, and documentation of certain factors are all signs that your HIV/AIDS patient may be ready for hospice.
Liver disease patients may be appropriate for hospice care if they have persistent symptoms of hepatic failure, such as ascites, hepatic encephalopathy or recurrent varicella bleeding, and meet other guidelines.
Hospice-appropriateness in cancer patients can be determined by looking at the ECOG score, KPS ratings, number staging systems, and the current category of treatment.
More patients and families are choosing not to start or to withdraw dialysis for multiple reasons, particularly in patients older than 60 years.
Quick, Secure and Simple
Refer your hospice-eligible patient easily. The VITAS app features:
- One-touch referral capability
- Immediate access to hospice clinical guidelines
- 1-click access to a VITAS admissions coordinator
- Android and iOS compatibility