Crossroads Hospice

(318) 878-2182

  1. Crossroads Hospice
  2. Crossroads Hospice
  3. Crossroads Hospice
Focusing on life's quality when quantity is limited.

Bridging the Gap


The guidelines for non-cancer diagnosis are not meant to be inclusive. They are examples of criteria requirements set forth by the National Hospice Organization. A consultation would be necessary to make a defintive determination reagrding hospice appropriateness. 

End-Stage Cardiovascular Disease
  • Recurrent, persisitent symtpoms of CHF despite optimal/maximal treatment, including optimal therapy with diurectics and ACB inhibitors
  • Recent episode of cardiac arrest, sncope, respiratory arrest
  • May or may not be oxygen dependent
  • Multiple hospitilizations related to a sever cardiac condition
  • Inability to perform physical activity of any kind without discomfort, pain or shortness of breath
  • CVA of cardaic origin, such as embolism
  • Ejection Fraction of 20%
  • Unstable weight
  • Uncontrolled edema
End-Stage Pulmonary Disease
  • Dyspnea at rest
  • Functional activity is limited so much taht patient experiences a "bed-to-chair" exisistence, disabling dyspnea 
  • Sign of right-sided heart failure
  • FBV 1>30% of predicted value, post bronchodilator therapy
  • Weight loss of greater than 10% of body weight in last 3-6 months
  • Hypoxia at rest (02 Sat <88% on room air)
  • Frequen steriod and/or antibiotic use
  • Resting pulse rate > 100 beats/min
  • Progressive cough and fatigue
  • Previous requirement of a ventilator secondary to respiratory failure/infection
Renal Failure
  • Uremia
  • Oliguria (UO <400 ml/24 hours)
  • Intractable hyperkalemia (>7.0) not responsive to treatment
  • The patient has 1,2, and 3: (1) The patient isnot seeking dialysis or renal transplant (2) Serum creatine >8.0 mg/dl or >6.0 mg/dl for diabetes
  • Supporting documentation for chronic renal failure includes: Uremia, Oliguria, Intractable hyperkalemia, Uremic pericarditis, Hepatorenal syndrome intractable fluid overload.
  • Supporting documention for acute renal failure includes: Mechanical venilation, Malignancy (other organ system), Chronic lung disease, Advanced cardiac disease, Advanced liver disease
End-Stage Liver Disease
  • Recurrent bleeding or esophageal varices
  • Ascities
  • Peritonitis
  • Progresssive malnutrition
  • Muscle atrophy
  • Hepatic encephalopathy and/or coma (very late stage)
  • Prothrombin time >5 seconds over control r INR >1.5 and Serum Albumin <2.5 mg/dl
End Stage HIV Disease
  • Chronic persisten diarrhea for one year, regardless of etiology 
  • Persistent serum albumin <2.5 g/dl
  • Concomitant substance abuse
  • Decisions to forego antiretroviral, chemotherapeutic, and prophylactic drug therapy related specifically to HIV disease
  • Congestive heart failure, symptomatic at rest
  • CD4+ count elow 25 cell/mcl
  • Persistent HIV RNA (Viral load) of >100,000 copies/ml 
  • Opportunistic disease such as CNS lymphoma, progressive multifocal leukoencephalopathy, scryptosporidiosis, wasting, MAC bactermia, visceral Kasposi's sarcoma renal failure, AIDS dementia complex or toxoplasmoss