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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

For a list of web-based hospices, click here.

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