Mutliple Sclerosis

Admission Criteria for End Stage Multiple Sclerosis

Critical nutritional impairment evidenced by:
  • Oral intake of nutrients and fluids insufficient to sustain life
  • Continuing weight loss
  • Rapid disease progression or complications in the preceding 12 months evidenced by:
    • Progression from independent ambulation to wheelchair or bed-bound status
    • Progression from normal to barely intelligible or unintelligible speech
    • Progression from normal to pureed diet
    • Progression from independent in most ADL's to needing major assistance
    • Life-threatening complications in the preceding 12 months as evidenced by one or more of the folowing:
      • Critically impaired breathing capacity
      • Dyspnea at rest
      • Patient declines artificial ventilation
      • Recurrent aspiration pneumonia (with or without tube feedings)