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Hospice Eligibility Criteria for Dementia and Alzheimer’s

When hospice care began in the 1960’s, the majority of its patients were living with cancer. However, people in the late stages of any serious illness are eligible for hospice care. This includes people living with advanced Alzheimer’s Disease, and related conditions like vascular dementia, Lewy Body dementia, and frontotemporal dementia. 
 
Unlike other serious illnesses, determining life expectancy and the exact timelines for the advanced stages of Alzheimer’s and other dementias can be very difficult. Family caregivers and their loved one’s physician may find it hard to know if the patient meets the hospice criteria for dementia and Alzheimer’s, especially if the patient has become unable to communicate things like pain or other symptoms. 

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What qualifies a dementia and Alzheimer’s patient for hospice?

In general, people living with Alzheimer’s Disease or related dementias may be eligible for hospice care when they exhibit one or more of the following hospice admission criteria: 

 

  • You have difficulty speaking intelligibly.
  • You have difficulty sitting up.
  • You have difficulty smiling or holding up your head.
  • You are experiencing bed sores (also called decubitus ulcers). 
  • You have had infection during the past year — such as pneumonia, kidney infection (pyelonephritis), bloodstream infection (sepsis) — or a fever that recurs after antibiotics. 
  • You are experiencing severe weight loss. 
  • You have difficulty in taking in food or drink by mouth. 
  • You wish to stay out of the hospital if the illness gets worse. Since it may be difficult for you to share your wishes in the late stages of dementia, it is so important to have these important discussions while conversation is still possible. 
  • You have more than one serious medical condition that may shorten survival (e.g. dementia and pneumonia). Your physician may call this a comorbid condition. 
  • You depend on others for basic tasks of daily living. 

Speak with a Samaritan hospice care expert for free, 24/7. Fill out the form to get started now.

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When to call hospice for dementia and Alzheimer’s

Patients and families should consider calling hospice when dementia or Alzheimer’s disease has progressed to the point that a patient is experiencing significant decline in memory, communication, mobility, eating, or the ability to complete daily activities. Other signs may include frequent infections, repeated hospitalizations, weight loss, difficulty swallowing, or increasing dependence on caregivers. 

Contact Samaritan for a dementia hospice evaluation

If you or a loved one is living with advanced dementia or Alzheimer’s disease, Samaritan can help determine whether hospice care is appropriate. During an evaluation, the hospice team reviews the patient’s condition, recent changes, functional abilities, symptoms, and overall care needs to determine whether they meet Alzheimer’s and dementia hospice criteria. 

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Request a dementia hospice evaluation and learn more about available support. 

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