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To be eligible for hospice care for a primary diagnosis of dementia, the patient should have a FAST score greater than or equal to 7 and should have specific comorbid or secondary conditions that adversely affect the patients expected survival.
A patient must present at least 7a (limited ability to speak, typically 1-5 words a day), as well as the symptoms of Stage 6 (in particular difficulty with dressing, bathing, and continence), to be considered appropriate for hospice.
The PPS uses five observer-rated domains correlated to the Karnofsky Performance Scale (100-0). The PPS is a reliable and valid tool and correlates well with actual survival and median survival time for cancer patients in outpatient and ambulatory settings.
What is the Palliative Performance Scale (PPS)? PPS can be used not only as a communication tool within the long-term care (LTC) home between professions (ex. Registered staff to PSWs, dietary, and activation therapy) but also across sectors for residents being admitted to LTC or to and from hospital.
Stage 7 is the final stage of cognitive disease. The individuals ability to speak will dwindle and ultimately go away. He or she will lose their remaining abilities, becoming incontinent and unable to walk.
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Patients in hospice care suffering from Alzheimers are usually in stage seven. This is where they experience docHub difficulty with communication and independent movement. On top of that, many people with Alzheimers also suffer from other conditions, such as coronary heart disease.
Once you have specified the behavior to be rated, read each question carefully and circle the one number that best describes your observations of this behavior. When scoring the FAST circle the items answered Yes. If you completed only Part II, also circle items 1, 2, and 3.
For a patient to be eligible for hospice, consider the following guidelines: The illness is terminal (a prognosis of 6 months) and the patient and/or family has elected palliative care. The patient has a declining functional status as determined by either: Palliative Performance Scale (PPS) rating of 50%-60%
The client is 19 years of age or older, is enrolled in the BC Palliative Care Benefits Program and has been diagnosed with an end-stage illness with a life expectancy of three months, or less. The client agrees to the Hospice Philosophy.
Certain diagnoses make a patient eligible for hospice care. These include, but are not limited to, cancer, heart disease, pulmonary disease, renal disease, dementia, and stroke. Hospice criteria also requires that all curative treatments must be stopped, but treatments focused on patient comfort can. continue.

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