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Palliative Care Eligibility

Palliative Care Eligibility Overview

  • Palliative still interested in curative-based treatment
  • Patient still interested in rehabilitation
  • Patient prognosis is uncertain

Factors to consider when determining Palliative Care eligibility:

Disease Process
If patient has one or more of the conditions listed below, they are likely a candidate for EITHER Hospice OR Palliative Care

  • Metastatic or recurrent cancer
  • End stage renal disease
  • Advanced C0PD (02 dependent, frequent exacerbations)
  • Advanced dementia (limited language, assistance with all
  • Advanced heart disease (CHF, CAD, Cardiomyopathy)
  • AOL's, unable to ambulate independently)
  • Stroke with decreased function (by 50%)
  • Advanced liver disease
  • Advanced neurological disease (ALS, MS, Parkinson’s)

Palliative Care Specific Criteria
If patient has a life-limiting illness, but not yet advanced'; and one or more of the conditions listed below.

  • Unacceptable level of pain
  • Patient/family desire help with advance care planning
  • Other uncontrolled symptoms (dyspnea, nausea, fatigue, etc.)
  • Frequent ED visits or hospital admissions
  • Poor functional status
  • Recurrent infections
  • Patient/family desire help with determining goals of care 
  • Unintentional weight loss



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