Montgomery Hospice and Prince George’s Hospice can help patients with any illness, including cancer, dementia, heart disease and others.
A requirement for admission to hospice care includes a Certification of Terminal Illness. This document, signed by the patient’s own physician in conjunction with the hospice medical director, states that the patient’s life expectancy is six months or less, should the terminal illness run its normal course.
The determination of life expectancy, or prognostication, can be very difficult. A patient may be eligible for hospice care if he or she has one or more of the following:
- Physical decline; increased dependence with ADLs/IADLs
- Sudden, unexpected weight loss
- Decreased oral intake; related to worsening debility and/or dysphasia
- Multiple comorbid conditions
- Frequent or recurrent infections; UTI, pneumonia
- Frequent, recent hospital visits
- Advanced disease that for which the patient declines aggressive care
The disease-specific criteria on the End-Stage Indicators page provide general guidelines for health professionals to aid in determining a patient’s hospice eligibility.
You can also download the Core Indicators (in PDF format).
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