ES Stroke and Coma

 

ES Stroke and Coma

If you have a loved one or a patient that has tried all treatment options and made the personal choice to not pursue further specialized treatments/studies, then it may be time to discuss the option of hospice, and Faith and Hope Hospice can be there to help. We understand that this may be a difficult time for you, and reflecting on your loved one’s last months,weeks or days may be emotional for you. Let Faith and Hope team of trained professionals be a helping hand in discussing and explaining to you and your loved one why hospice care does not mean there is nothing else to be done. It can actually be comforting to know there is another source of help and support.

Stroke:

  • Karnofsky Performance Status (KPS) of < 40%
  • Weight Loss >10% in the last 6 months or >7.5% in the last 3 months
  • Current history of pulmonary aspiration not responsive to speech language pathology intervention
  • Sequential Calorie counts documenting inadequate caloric/fluid intake
  • Dysphagia severe enough to prevent patient from continuing fluid/foods necessary to sustain life, and patient does not receive artificial nutrition and hydration

Coma:(Any three of the following on day three of coma)

  • Abnormal brain stem response
  • Absent verbal response
  • Absent withdrawal response to pain
  • Serum Creatinine >1.5mg/dl
  • Documentation of the following support eligibility for hospice care:
  • Medical complications such as aspiration pneumonia, pyelonephritis, refractory stage 3-4 decubitus ulcers and/or fever recurrent after antibiotics
Client Referral