Guidelines For Hospice Referral General Guidelines Life limiting condition Progression of disease Frequent hospitalization, office, ER visits Weight loss > 10% over past six months Serum albumin < 2.5 dl Patient/family focus on symptom relief, not cure Examples of diagnoses when no further curative treatment is indicated include: Cancer diagnosis where patient is no longer responding to curative treatment or has elected not to pursue such treatment End Stage Pulmonary Disease End Stage Renal Disease End Stage Cardiac Disease End Stage Liver Disease End Stage Dementia / Advanced Alzheimer's With Functional Assessment > 7 Stroke / Coma HIV / AIDS ALS