Cancer - For Physicians
- Clinical findings of malignancy with widespread, aggressive or progressive disease as evidenced by increasing symptoms, worsening lab values and or/evidence of metastatic disease
- Impaired performance status with a PPS < 70%
- Refused further curative therapy or continues to decline despite definitive therapy. Decline is evidenced by:
- Hypercalcemia >/= 12
- Cachexia or weight loss of 5% in the preceding three months
- Recurrent disease after surgery/radiation/chemotherapy
- Signs and symptoms of advanced disease, e.g., nausea, anemia, malignant ascites or pleural effusion, etc.
The following information will be required:
1. Tissue diagnosis of malignancy
2. Reason(s) why a tissue diagnosis is not available
In the absence of one or more of the above findings, rapid decline or comorbidities may also support eligibility for hospice care.
We may accept a patient for hospice while the patient continues to receive treatment (such as chemotherapy), under circumstances such as to meet a time-bound goal or for symptom management.