The patient has 1, 2, and 3:
1.
Clinical
findings of malignancy with widespread, aggressive, or progressive disease
as evidenced by increasing symptoms, worsening lab values and/or evidence
of metastatic disease
2.
Impaired
performance status with a PPS = 70%
3.
Refuses
to further curative therapy OR continues to decline in spite of definitive
therapy
Supportive
criteria include:
- Hypercalcemia = 12
- Cachexia or weight loss
of 5% in the preceding three months
- Recurrent disease after
surgery/radiation/chemotherapy
- Declines to pursue additional
curative or prolonging cancer treatment
- Signs and symptoms of advanced
disease (e.g. nausea, requirement for transfusions, malignant ascites
or pleural effusion, etc.)
THE FOLLOWING INFORMATION WILL BE REQUIRED:
- Tissue diagnosis of
malignancy
- Reasons why a tissue
diagnosis in not available
In the absence of one or more of the above
findings, rapid decline or comorbidities may also support eligibility
for hospice care.
