Huntington’s Disease

Patient must have both 1 and 2.

  1. Stage VII or beyond according to FAST[1] with all of the following:
    1. Inability to ambulate without assistance
    2. Inability to dress without assistance
    3. Urinary or fecal incontinence (intermittent or constant)
    4. No consistent meaningful/reality based verbal communication
  2. Has had at least (1) of the following conditions within the past (12) months:
    1. Aspiration pneumonia
    2. Pyelonephritis or other upper urinary tract infection
    3. Septicemia
    4. Pressure ulcers, many and/or above stage 3
    5. Toxoplasmosis unresponsive to therapy
    6. Recurrent fever after antibiotics
    7. Inability to maintain sufficient fluid and calorie intake with one or more of the following during the last (12) months:
      1. 10% weight loss during the previous (6) months
      2. serum albumin <2.5 gm/dl.
  • Significant dyphagia with associated aspiration measured objectively (e.g. swallowing test or a history of choking/gagging with feeding).

[1] Refers to Functional Assessment Scale

See another guide:
Alzheimer’s/Dementia
Cancer
CVA (Stroke)/Coma
Heart Disease/CHF (Congestive Heart Failure)
HIV/AIDS
Liver Disease
Neurological Diseases (see list below)
      ALS (Amyotrophic Lateral Sclerosis)
      Parkinson’s
      Muscular Dystrophy
      Myasthenia Gravis
      MS (Multiple Sclerosis)
Pulmonary Disease/COPD (Chronic Obstructive Pulmonary Disease)
Renal (Kidney) Failure

Frequent Co-Morbidity documentation requirements
Cachexia/Protein Calorie Malnutrition (Weight Loss)

Referenced Tables 
Palliative Performance Scale (PPS)
New York Heart Association (NYHA) Functional Classes
Functional Assessment Staging (FAST) Scale

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