Neuromuscular Disease

Admission Criteria for End Stage Neuromuscular Disease

Critical breathing capacity with the following findings:
  • Dyspnea at rest
  • The requirement of supplemental oxygen at rest
  • No ventilator support
Critical nutritional impairment evidenced by:
  • Oral intake of nutrients and fluids insufficient to sustain life
  • Continuing weight loss
  • Dehydration or hypovolemia
  • Absence of artificial feeding methods
Rapid disease progression or complications in the preceeding 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 preceeding 12 months evidenced by one or more of the following:
  • Recurrent aspiration pneumonia (with or without tube feedings)
  • Upper urinary tract infections (pyelonephritis)
  • Sepsis
  • Recurrent fever after antibiotic therapy
  • Stage 3 or 4 decubitus ulcer
  • Karnofsky score of 40 or less