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Renal Disease

Renal Disease - For Physicians

The patient has 1 and either 2 or 3:

1.  The patient is not seeking dialysis or transplant

AND

2.  Creatinine clearance < 10cc/min (<15cc/min for diabetics)

OR

3.  Serum creatinine > 8.0 mg/dl (> 6.0 mg/dl for diabetics)

Supporting evidence for hospice eligibility:

  • Uremia
  • Oliguria (urine output is less than 400 cc in 24 hours)
  • Intractable hyperkalemia (> 7.0) not responsive to treatment
  • Uremic pericarditis
  • Hepatorenal syndrome
  • Immunosuppression/AIDS
  • Intractable fluid overload, not responsive to treatment

In the absence of one or more of the above findings, rapid decline or comorbidities may also support eligibility for hospice care.