All should be present:
- Unable to ambulate independently
- Unable to dress without assistance
- Unable to bathe without assistance
- Incontinence of urine and stool (occasionally or more frequently)
- Unable to speak or communicate meaningfully (vocabulary of 6 intelligible words or less)
Should have experienced at least one of the medical complications of dementia in the last year (the conditions should have been severe enough to warrant hospitalization, whether or not hospitalization occurred).
- Aspiration pneumonia
- Fever recurrent after antibiotics
- Upper UtI
- Serum albumin <2.5
- Decubitus ulcer, stage -4
- Inability or unwillingness to take food or fluids sufficient to sustain life.
We develop and individualized and specific Plan of Care – as Dementia and Alzheimer Diseases progress patients lose their ability to express themselves and their needs. An individualized Plan of Care will address pain, hydration, nutrition, skin care, recurrent infection and agitation – all common problems with Dementia and Alzheimer’s patients.
Hospice is a valuable resource to caregivers and family who have experienced this long difficult journey.