Parkinson's disease
Parkinson's disease
Patients will be considered to be in the terminal stage of liver disease if they meet the following criteria: Both 1 and 2 should be present; factors from 3 will lend supporting documentation:
- Physiologic impairment of functional status as demonstrated by Palliative Performance Scale (PPS) of 70% or less.
- Patient is dependent on assistance for two or more of the following activities of daily living (ADLs):
- • Feeding
- • Transfer
- • Ambulation
- • Bathing
- • Continence
- • Dressing
- Documentation of the following factors will support, but is not required to establish, eligibility for hospice care:
- • Hoehn and Yahr Stage V: (circle appropriate conditions) cachectic stage, invalidism is complete, inability to walk or stand, requires constant care.
- • All drug therapies fail/do not meet medical criteria for sterotactic neurosurgery for relief of symptoms.
- • Increase in dementia as evidenced by: confusion, disorientation, anxiety, depression, withdrawal, irritability.
- • Difficulty swallowing food or refusal to eat, sufficiently severe that the patient cannot maintain sufficient fluid and calorie intake to sustain life.
- • Serum albumin level is less than 2.5 gm/dl.
- • Progressive weight loss >10% body weight over the past six months.
- • Severe dysphagia resulting in frequent choking episodes.