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Appendix G
Pages 400-404

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From page 400...
... However, they may be specifically applied to patients who do not fall under any of the specific diagnostic categories for which disease-specific Guidelines have been written. An example might be the elderly debilitated patient whose intake of food and fluid has declined to the point where weight loss has become significant, although no specific disease predominates in the clinical picture.
From page 401...
... Documented clinical progression of disease, which may include: Progression of the primary disease process as listed in cliseasespecific criteria, as clocumenteci by serial physician assessment, laboratory, racliologic, or other stuclies. Multiple Emergency Department visits or inpatient hospital .
From page 402...
... Although dementia shortens life independent of culture or ethnicity, prediction of six-month mortality is challenging. Severity of dementia alone correlates with poor survival in studies of institutionalized and outpatients, but patients with very advanced dementia can survive for long periods with meticulous care as long as they do not develop lethal complications.
From page 403...
... The presence of medical comorbid conditions of sufficient severity to warrant medical treatment, documented within the past year, whether or not the decision was made to treat the condition, decrease survival in advanced dementia.
From page 404...
... 1. Patients who are receiving tube feedings must have documented impaired nutritional status as indicated by: a.


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