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When Can Hospice Help?

 

Guidance for Patients and Families

Hospice is not just for people with end-stage cancer.  Hospice can help people with a variety of life-limiting conditions, when symptoms no longer respond to curative treatment.  The list below may serve as a guide.  Ask your doctor or contact your local hospice to learn more about your situation.

1.   AIDS

  • Medication no longer slows disease progression
  • Increasing infections
  • Difficulties with self-care
  • Continued weight loss and weakness

2.   ALS (Lou Gehrig’s Disease)

  • Decreased ability for self-care
  • Impaired swallowing, breathing
  • Muscle wasting or rigidity
  • Progressive weight loss

3.   Alzheimer’s Disease or Senile Dementia

  • Difficulty swallowing
  • Loss of bowel and bladder control
  • Inability to speak, dress and feed oneself
  • Progressive weight loss

4.  Cancer

  • Spread to other organs (metastases)
  • Treatment no longer slows disease progression
  • Continued weight loss

5. Congestive Heart Disease

  • Severe fatigue
  • Shortness of breath at rest
  • Chronic fluid build-up in chest and extremities
  • Frequent hospitalizations

6. End-Stage Kidney Disease

  • Severe fluid build-up in abdomen and extremities
  • Unstable disease requiring frequent hospitalizations
  • Dialysis or transplant appropriate, but not desired

7.   Lung Disease

  • Poor control of symptoms
  • Disabling shortness of breath with discomfort
  • Dependency on oxygen
  • Frequent crisis hospitalizations

8.   Multi-system Breakdown

  • Multiple organ failure, such as heart disease and chronic lung disease
  • Continued decline in overall health

9.  Stroke

  • Coma or persistent vegetative state; irreversible damage
  • Inability to swallow
  • Need for total care

These guidelines are available in a 4" x 9" card format.  They are ideal as an informational handout and can be printed with your hospice's logo.  For more details, please call (202) 223-0204. 

 

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