death lecture Flashcards
when is someone elegible for hospice
when they have less than 6 months to live
hospice eligibility
for CHF
CHF IV failure 20 mintues
hospice elegibility for renal failure
Creatinine >8
off dialysis
liver failure hospice criteria
mostly ned bound albumine <2.5 INR>1.5 \+ spontaneous bacterial peritonitis encephalopathy refractory ascites reocurrent variceal bleed heaptorenal syndrome
dementia elegibility
bed bound mute unable to ambulate aspiration progressive wt loss ant least one
pyeloneph sepsis pressure ulcers fever after anbx dysphagia
stoke elegibility
pooer nutritional status
albumin 2.5
recurrent medical problems as with dementia
the back and forth trajectory associated with chf
Sine wave
we have a tendency to overestimate life expectancy by a factor of
5
GOOD acronym
goals of care
options
opinon
document `
feeding tubes do or do not decrease the risk of aspirations -T or F
T
because you are lying on your back and if you burp you’re fucked
really just good for early onset strokes and throat cancer
B
full tx intubation
B selective: vessels DNI (do not intubate) but iV ok
C: No IV no intubation
comfort focused
(good hospice candidates)
