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End of Life Online Curriculum - Modules
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Home Hospice
: Home Care of the Dying Patient |
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End Stage Dementia
The patient has dementia, which has progressed to:
- Stage seven or beyond according to the Functional Assessment Staging
Scale
- Unable to ambulate without assistance
- Unable to dress without assistance
- Unable to bathe without assistance
- Urinary and fecal incontinence, intermittent or constant
- No meaningful verbal communication, stereotypical phrases only,
or ability to speak is limited to six or fewer intelligible words and
- Patients must have had one of the following within the past 12 months:
- Aspiration pneumonia
- Pyelonephritis or other upper urinary tract infection
- Septicemia
- Decubitus ulcers, multiple, stage 3 - 4
- Fever, recurrent after antibiotics
- Inability to maintain sufficient fluid and calorie intake with
10% weight loss during the previous six months or serum albumin < 2.5
gm/dL
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©End
of Life Curriculum Project, a joint project of the US Veterans Administration
and SUMMIT,
Stanford University Medical School.
Funded by a grant to the Veterans
Administration Nationwide Palliative Care Network by
the National Library of Medicine. VJ Periyakoil, MD, Director.
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