|
End of Life Online Curriculum - Modules
|
|
Home Hospice
: Home Care of the Dying Patient |
|
|
HIV Disease
The patient has:
- CD4 + Count < 25 cells/mcL or
- Persistent viral load > 100,000 copies/ ml plus
- At least one of the following:
- CNS Lymphoma
- Wasting (loss of 33% lean body mass), untreated, or not responsive
to treatment
- Mycobacterium avium complex (MAC) bacteremia, untreated, unresponsive
to treatment, or treatment refused
- Progressive multifocal leukoencephalopathy
- Systemic lymphoma
- Visceral Kaposi’s sarcoma unresponsive to therapy
- Renal failure in the absence of dialysis
- Cryptosporidium infection
- Toxoplasmosis, unresponsive to therapy
- Karnofsky Performance Status (KPS) < 50%
- Advanced AIDS dementia complex
Supporting documentation:
- Chronic persistent diarrhea for one year
- Persistent serum albumin < 2.5
- Concomitant, active substance abuse
- Age > 50 years
- Absence of antiretroviral, chemotherapeutic and prophylactic drug
therapy related specifically to HIV disease
- Congestive heart failure
|
|
| Top |
|
|
|
©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.
|
