Advanced End Stage Senescence or Debility

The patient has:

  • Karnofsky Performance Status < 50% and at least one of the following conditions within the past 12 months:
  • Aspiration pneumonia
  • Pyelonephritis or other upper urinary tract infection
  • Septicemia
  • Decubitus ulcers, multiple, stage 3-4
  • Fever, recurrent after antibiotics
  • Inability to maintain sufficient fluid and calorie intake with > 10% weight loss during the previous six months or
  • A serum albumin of < 2.5 gm/dl
  • Significant dysphagia with associated aspiration measured objectively (e.g., swallowing test or a history of choking/gagging with feeding)

A physician may determine that a patient has a life expectancy of six months or less even if the above findings are not present. Co-morbidities also support eligibility for hospice care.