86 Dementia

The patient has dementia which has progressed to:

  • FAST stage 7 or beyond
  • Unable to ambulate without assistance
  • Unable to dress without assistance
  • Unable to bathe without assistance
  • Urinary and fecal incontinence, intermittent or constant
  • No meaningful verbal communication
    • Stereotypical phrases only
    • Ability to speak is limited to six or fewer intelligible words

AND

The patient must have had one of the following within the past 12 months

  • Aspiration pneumonia
  • Pyelonephritis or other upper urinary tract infection
  • Septic episode
  • Decubitus ulcers, multiple, stage 3-4
  • Fever, recurrent after antibiotics
  • Inability to maintain sufficient fluid and calorie intake

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Reference Notes for Palliative Care Consultation Copyright © 2018 by Robert F. Johnson MD, MEd is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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