Admission Criteria for End Stage Senescence or Debility

  • Karnofsky score of 50 or less
  • At least one of the following conditions within the last 12 months:
    • Aspiration pneumonia
    • Pyelonephritis or other upper urinary tract infection
    • Septicemia
    • Multiple Stage 3 or 4 decubitus ulcers
    • Fever, recurrent after antibiotics
    • Inability to maintain sufficient fluid and calorie intake with > 10% weight loss during the previous 6 months
    • A serum albumin of < 2.5 gm/dl
    • Significant dysphagia with associated aspiration measured objectively (eg., swallowing test or a history of choking/gagging with feeding)