Renal Disease

Hospice Eligibility Criteria

End stage kidney disease, also known as renal disease, occurs when the kidneys are so badly damaged that the patient cannot survive without dialysis or a transplant.

Hospice Criteria for Renal Disease:

  1. Palliative Performance Score (PPS) ≤ 70% (see table below)

  2. Dependence on assistance for 2 or more activities of daily living (e.g. feeding, transferring, ambulation, bathing, continence, dressing)

  3. The patient is not seeking dialysis or renal transplant

  4. Creatinine clearance:

    • < 10 cc/min (< 15 cc/min for diabetics) or

    • < 15 cc/min (< 20 cc/min for diabetics) with co-morbidity of CHF) or

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

If you are or know a patient with renal disease that could benefit from hospice, call Appalachian Hospice and Home Health Services at 606-432-2112 or 606-789-3841 to learn how we can provide quality, compassionate care to you, your patient, or your loved one.

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