• Uncontrolled pain
    • Sudden onset or new manifestation of unmanageable pain
    • Ongoing pain control/management requiring frequent adjustment in dose or analgesic requiring constant monitoring and evaluation
    • Non-verbal signs of pain (groans and grimaces)
  • Intractable nausea, vomiting diarrhea
  • Respiratory distress


    • Symptoms of rales, rhonchi, wheezing, severe shortness of breath or ineffective airway clearance
  • Intensive teaching


    • Complicated wound care, dressing changes, medication administration requiring intense interventions
    • Minimum of eight hours of teaching
  • Seizures


    • Requiring intensive intervention, continuous monitoring
  • Psychological problems and uncontrolled symptoms which can create significant stress on the patient/family


    • Behavioral or cognitive abnormalities causing severe agitation, disorientation or combative behavior
    • Severe depression and/or anxiety necessitating a change in environment or safety
    • Suicide ideation, gestures, attempts, threats of euthanasia
    • Acute breakdown or disruption in family dynamics, preventing family members from functioning as adequate caregivers either physically or emotionally
    • Death is imminent with unstable symptoms and caregiver stress
  • Hemorrhage or Bleeding


    • Causing symptoms which are difficult for the family to manage
  • Other symptoms


  • Defined by the interdisciplinary team and unmanageable by the family





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 Homestead Hospice does not discriminate against any person on the basis of race, color, national origin, disability or age in admission,

treatment or participation in programs, services and activities or in employment.