These guidelines are intended to supplement a physician’s best clinical judgment when determining hospice eligibility. Due to comorbidities or rapid functional decline, a patient who does not meet these guidelines may still be eligible for hospice care.

If a patient meets the criteria below, they are considered in the terminal stage of cardiac disease. Criteria 1 and 2 MUST be present; factors 3 and 4 may be present but are not required. What are hospice criteria for heart failure?

Heart Failure

1. At the Time Of Initial Hospice Certification Or Recertification:

The patient is already receiving optimal treatment with diuretics and vasodilators, which may include ACE inhibitors or a combination of hydralazine and nitrates. If side effects such as hypotension or hyperkalemia make it impossible to use ACE inhibitors or the combination of hydralazine and nitrates, this must be documented in the medical records.


Patients with angina pectoris at rest resist standard nitrate therapy and are either not candidates for or refuse invasive procedures.

2. The patient has recurrent congestive heart failure (CHF) symptoms at rest and is classified as a New York Heart Association (NYHA) Class IV

3. Documentation of the following factors may be useful in determining prognosis in end-stage heart disease:

If a patient meets the medical criteria listed above, they are automatically eligible for hospice care.

When Does Your Heart Disease Patient Qualify for Hospice Care

When a physician determines that a patient’s life expectancy is six months or less, the patient is eligible for hospice care if the disease runs its expected course.

Comorbid disease risk factors include:

End-of-life Disease Classifications of Hospice-Eligible Patients

End-stage Congestive Heart Disease Characteristics

NYHA Class IV symptoms include any of the following:

Risk Factors For Comorbid Heart Disease

End-stage Coronary Artery Disease Characteristics

At rest or with minimal activity, the patient experiences frequent or recurring bouts of angina pectoris.


Oasis Hospice makes these guidelines available as a helpful tool. They are not intended to replace a physician’s professional judgment. Whenever I’ve to choose hospice care, I prefer hospice near me.

What Precisely Is Congestive Heart Failure

According to the Centres for Disease Control and Prevention, more than 6 million adults have heart failure. You have heart failure when your heart fails to pump enough blood to your body. Blood that should be pumped out of your heart can become clogged, causing swelling and fluid buildup in your legs, abdomen, and even your lungs. Congestive heart failure occurs when there is fluid in the lungs due to heart failure.

Although heart failure is more common in the elderly, anyone can develop this progressive, chronic condition. High blood pressure, diabetes, a previous heart attack, and heart valve disease are all factors that contribute to heart failure. Obesity, chronic kidney disease, alcohol abuse, and smoking risk factors for developing heart failure.

Adult heart failure cannot be cured in the majority of cases. However, treatment can help to alleviate the symptoms. Certain medications, for example, can reduce excess fluid by increasing urination. A low-salt diet may also assist the body in eliminating excess fluid. Other drugs can help the heart pump more efficiently or contract with greater force.

Heart Failure Signs and Symptoms Include:

• exhaustion/weakness

• difficulty breathing

• gaining weight

• swollen legs and feet, belly, or lower back

• coughing

• When lying down, breathing becomes difficult.

• Sleeping comfortably with multiple pillows

• rapid heartbeat or palpitations

• Appetite loss

Oasis hospice care services are the best ones in the town. You can check out the criteria for pulmonary fibrosis. For information, contact us at (708) 564-4838.

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