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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
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