HIV Disease

Call or email the Hospice Team for the most accurate assessment of the patient’s eligibility.

Ph:
E:

Eligibility Criteria

The patient must have A or B, then 2 and 3.

A. CD4 + Count<25 cells/mm3

B. Persistent viral load> 100,000 copies/ml from 2 or more assays at least 1 month apart

AND

2. At Least 1 of the following conditions:

   CNS lymphoma

   Untreated or refractory wasting (loss of >33% lean body mass)

   Mycobacterium avium complex (MAC) bacteriemia, untreated, refractory or treatment refused

   Progressive multifocal leukoencephalopathy

   Systemic lymphoma

   Refractory visceral Kaposi’s sarcoma

   Renal failure in the absence of dialysis

   Refractory cryptosporidium infection

   Refractory toxoplasmosis

   Treatment resistant symptomatic dysrhythmias

   History of unexpected or cardiac related syncope

   CVA secondary to cardiac embolism

   History of cardiac arrest or resuscitation

AND

5. Palliative Performance Scale of <50% (requires considerable assistance and frequent medical care, activity limited mostly to bed or chair)

Supporting evidence for hospice eligibility:

Chronic persistent diarrhea for one year
Persistent serum albumin <2.5
Concomitant active substance abuse

In the absence of one or more of these findings, rapid decline and comorbidities may also support eligibility for hospice care.