![]() ![]() #Hospice care can provide important support and comfort for #coloncancer patients and their families. During #RedCrossAwarenessMonth, consider donating blood o… /i/web/status/1… The provides essential support for communities. Planning your own funeral can be a tremendous gift to both yourself and your loved ones during an otherwise difficu… /i/web/status/1… Looper RN, CHPN, CHPCAĬhief Corporate Clinical Consultant / Legal Nurse Consultant / HPNA Approved Educator/Certified ELNEC Trainer/ Certified Grief Recovery 5 Mar Referring to hospice only ensures that they receive the most compassionate care available during their final days. Sadly, these individuals are fighting a different battle. I, as many Americans, fight the battle of the bulge. The more comorbid and secondary conditions the individual exhibits, the more likely a terminal prognosis would be expected. Other variables supporting the secondary terminal diagnosis, although not required to qualify for hospice, include recurrent infections such as UTI’s, URI, or sepsis, decreasing serum albumin or cholesterol, dysphagia, nausea and/or vomiting that responds poorly to treatment, pain, stage 3-4 decubitus ulcers, edema and changes in level of consciousness. Irreversible nutritional impairment as evidenced by a body mass index (BMI) of 22 or less, declines enteral/parental nutritional support or has not responded to such support despite an adequate caloric intake and a Palliative Performance Scale (PPS) equal to or less than 40%. However, Adult Failure to Thrive can be considered as a secondary hospice diagnosis, and CMS has established criteria to determine if the individual has a prognosis of six months or less if the disease progresses as expected. The Centers for Medicare and Medicaid Services (CMS) does not accept Adult Failure to Thrive as a primary hospice diagnosis. This condition should never be viewed as a normal part of aging, and, if the course of the disease cannot be altered with conventional treatments, end-of-life care may be the most appropriate type of treatment. The individual may develop decubitus ulcer due to a low serum and/or protein level. The symptoms off failure to thrive in adults include weight loss, decrease or no appetite, impaired nutritional status and, at times, immobility and impaired activity level. In the elderly, AFTT is a state of decline defined as “multifactorial”, and may be caused by chronic underlying diseases and functional decline. Adult Failure to Thrive (AFTT) is a debilitating illness that presents a multitude of symptoms.
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