Hospice Criteria for ALS Patients

Hospice Criteria for ALS Patients
Amyotrophic Lateral Sclerosis (ALS)
(should have 1or 2 and 3 or 4)

  1. Progression of decline in the last 12 months – must have all
  • From independent ambulation to w/c or bed bound
  • From normal to pureed diet
  • From normal to barely intelligible speech
  • From independent to assisted ADLs
  1. Critically impaired ventilator capacity – must have all
  • Vital Capacity less that 30% of predicted (if available)
  • Significant dyspnea at rest
  • Supplemental oxygen required at rest
  • Mechanical ventilation refused
  1. Critical nutritional impairment – must have all
  • Chronic dehydration
  • Weight loss
  • Oral intake insufficient and arterial feeding refused
  1. Life threatening complications – must have one
  • Recurrent aspiration pneumonia
  • Sepsis
  • Multiple stage 3-4 decubitus ulcers
  • Fever recurrent after antibiotics

We develop individualized plans of care – as Amyotrophic Lateral Sclerosis progresses, patients experience functional and physiological decline. A plan of care specific to address anxiety, weakness, shortness of air, nutrition, hydration, skin care, recurrent infections, pain, and incontinence are all common issues with ALS.  Let Champion Hospice help you get the best of care.