Hospice Criteria for Renal Disease

Patients with Pulmonary Disease

DIAGNOSIS OF RENAL DISEASE

(should have 1, 2, and 3)

  1. Not seeking dialysis or treatment
  2. Creatinine clearance of <10 cc/min (<15 cc/min for diabetics)
  3. Serum creatinine >8.0 (>6.0 for diabetics)

Other factors:

ACUTE

  • Malignancy
  • Mechanical ventilation
  • GI bleeding
  • DIC
  • Platelet count <25,000
  • Sepsis
  • Albumin <3.5
  • Asterixis
  • Cachexia
  • Advanced cardiac, pulmonary or liver disease

CHRONIC

  • Uremia
  • Oliguria
  • K+ >7
  • Uremic pericarditis
  • Hepatrenal syndrome
  • Anasarca