1 Health Conditions
a. Co-morbids associated with disease process to support diagnosis
b. Pyelonephritis
c. Septicemia
d. Decubitus ulcers, multiple stage 3 and 4 wounds

2 Palliative Performance Scale (PPS)
a. Less than or equal to 40%
b. Mainly in bed
c. Needs assistance with all ADLs

3 Inability to maintain hydration and caloric intake
a. Difficulty swallowing
b. Aspiration pneumonia
c. Weight loss of > 10% during the last 6 months
d. Weight loss of > 7.5% during the last 3 months
e. Serum albumin less than or equal to 2.5 gm/dl

4 Coma (supporting terminal diagnosis)
a. Abnormal brain stem response
b. Absent verbal response
c. Absent withdrawal response to pain
d. Serum creatinine > 1.5mg/dl

5 Respiratory
a. Dyspnea
b. Continuous supplemental oxygen

Altus Hospice professionals are available for patient and family consultations at any time. There is absolutely no obligation or charge to the patient. Hospice care is covered by Medicare, Medicaid and most private insurance carriers.

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