Renal Disease

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

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Eligibility Criteria

1. Acute Renal Failure. Not seeking dialysis or renal transplant, or is discontinuing dialysis.

And

1. Creatine Clearance <10 ml/min (15 ml/min for diabetics) or <15 ml/min (20 ml/min diabetics) with comorbidity of CHF

Or

2. Serum Creatinine > 8.0 (>6.0 for Diabetics)

Or

3. GFR <10 ml/min (Required for acute. Suggested for chronic)

Comorbid Conditions

1. Malignancy (other organ system)
2. COPD
3. Advanced Cardiac Disease
4. Advanced Liver Disease
5. Immunosuppresion/AIDS
6. Albumin <3.5
7. Platelet Count <25,000
8. Disseminated Intravascular Coagulation
9. GI Bleed

Signs and Symptoms of Renal Failure

1. Uremia
2. Oliguria (<400cL/24hours)
3. Intractable hyperkalemia (>7.0), not responsive to treatment
4. Uremic pericarditis
5. Hepatorenal Syndrome
6. Intractable fluid overload, not responsive to treatment

Hospice may choose to cover dialysis under special circumstances.