Hospice Criteria for Liver Disease:
Palliative Performance Score (PPS) ≤ 70% (see table below)
Dependence on assistance for 2 or more activities of daily living (e.g. feeding, transferring, ambulation, bathing, continence, dressing)
Pro-time prolonged more than 5 seconds over control or INR > 1.5
Serum albumin < 2.5 gm/dl
End stage liver disease is present and the patient shows at least one (1) of the following:
Ascites, refractory to treatment or patient non-compliant
Spontaneous bacterial peritonitis
Hepatorenal syndrome
Hepatic encephalopathy refractory to treatment or patient non-compliant
Recurrent variceal bleeding despite intensive therapy