For Health and Family Advisors2018-07-27T19:19:01+00:00

Hospice is a team of family, friends, health professionals and advisors who work together to create the most comfortable and dignified care for someone with a life-limiting illness.

Bethany Hospice is available for consultation with health and family advisors. The following information provides additional information on indicators and our in-service programs.

For more information, call 412-921-2209 or email us at [email protected].

CVA (Stroke/Coma)2018-07-23T19:06:30+00:00
  • Karnofsky 40% or less
  • Nutritional status decline
  • Dependent for all care
  • Weight loss
  • Dysphasia
  • No consistent or meaningful speech
  • Supporting indicators:
    • Aspiration pneumonia
    • UTI
    • Sepsis
    • Stage 3-4 decubitus ulcers
    • Recurrent fevers
  • Impaired breathing capacity
  • Increased assist in ADLs
  • Decline in speech
  • Progression from normal to pureed diet
  • Progression from independent ambulation to wheelchair
  • One or more of the following:
    • Weight loss
    • Aspiration pneumonia
    • UTI
    • Sepsis
    • Recurrent fever
    • Stage 3-4 decubitus ulcers
Liver Disease2018-07-23T19:11:46+00:00
  • PTT > 5 sec above control
  • Serum albumin < 2.5 g/dL
  • Ascites despite diuretics
  • Peritonitis
  • Hepatorenal syndrome
  • Encephalopathy
  • Recurrent variceal bleeding
  • Supporting indicators:
    • Malnutrition
    • Muscle wasting
    • Hepatitis C
    • Active alcoholism
Acute or Chronic Kidney Failure2018-07-23T19:11:52+00:00
  • Not seeking dialysis or transplant
  • Creatine clearance <10cc/min, <15cc/min for diabetics
  • Serum creatine >8.0mg/dl, >6.0mg.dl for diabetics
  • Supporting conditions
    • Uremia
    • Oliguria
    • Hyperkalemia
    • Albumin <3.5mg/dl
  • Dyspnea at rest
  • Poorly responsive to bronchodilators
  • Decreased functional capacity
  • Fatigue
  • Recurrent infections
  • Increasing ER visits
  • Weight loss
  • Resting heart rate > 100
  • Oxygen dependent
Alzheimer’s Dementia2018-07-23T19:04:31+00:00
  • Stage seven or beyond on the FAST scale
  • Unable to ambulate without assistance
  • Unable to dress without assistance
  • Unable to bathe without assistance
  • Urinary and fecal incontinence, intermittent or constant
  • Unable to express needs
  • One or more of the following:
    • Aspiration pneumonia
    • Recurrent UTI
    • Septicemia
    • Stage 3-4 decubitus ulcers
    • Recurrent fevers
    • Weight loss
    • Renal disease
    • No dialysis
    • Creatinine clearance < 10cc/min (15cc/min in diabetics)
  • Supporting indicators:
    • Signs of uremia
    • Intractable fluid overload
    • Oliguria <400cc/24 hours
  • Clinical findings of malignancy with widespread, aggressive, or progressive disease
  • Impaired performance status
  • Increasing symptoms, worsening lab values
  • Refuses further curative therapy or no additional therapies are available
Heart Disease2018-07-23T19:10:51+00:00
  • Poor response to treatment
  • NYHA Class IV heart failure
  • Discomfort with physical activity
  • Supporting indicators:
    • History of cardiac arrest
    • Unexplained syncope
    • Cancer
    • No aggressive treatments available or being sought
    • Patient showing decline
General Indicators2018-07-23T19:03:05+00:00
  • Patient/family desires comfort or palliative care
  • Patient no longer wishes to be hospitalized
  • Physical decline
  • Increased assistance with ADLs
  • Multiple co-morbidities
  • Weight loss
  • Serum albumin < 2.5 g/dL
  • Frequent hospitalizations or trips to the ER
  • Increasing pain or weakness
  • Life limiting condition

Less common hospice appropriate diagnoses include Multiple Sclerosis, HIV/AIDS, Huntingdon’s Disease, Myasthenia Gravis, and Parkinson’s Disease

In-service List

Bethany Hospice provides speakers and trainers for various events and meetings. Many of our in-service programs qualify for RN and/or SW CEUs. If you are interested in holding a training session or a meeting, please call 412-921-2209 or email us at [email protected].

Available topics include:

  • Hospice 101
  • Elder Abuse
  • The Hospice Process
  • Enjoying the Holidays When a Loved One Has Alzheimer’s
  • Determining Hospice-Appropriate Patients
  • Safe Management Techniques and Incident Reporting
  • Discussing Hospice with Patients and Family Members
  • Pain Management
  • The Role of Hospice in a Long Term Care Facility
  • Stress Management
  • Stages of Grief
  • Death and Dying
  • Laughter Is the Best Medicine
  • Advance Directives
  • Caring for the Caregiver
  • Dealing with Difficult Families

Bethany Hospice is continually developing new in-service topics. If you have a need for a specific in-service program not listed above, please contact us.