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End Stage

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How Can We Help? Answer 7 simple questions to see whether we can assist and support your family.
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Pathways for End Stage Lung Disease - For PHYSICIANS

Pathways for End Stage Lung Disease was created to identify and manage the unique end-of-life symptoms and medical needs of your patient. Hospice of Cincinnati has identified key factors to help manage patients in their home environment, avoid unnecessary Emergency Department (ED) visits and hospital readmissions and facilitate improved quality of life for your patient and his/her family caregiver(s). These key factors include:

  1. Identifying patients who are at higher risk for returning to the hospital when symptoms arise.
  2. Providing a Shortness of Breath Scale to help caregivers monitor their loved ones and take the necessary steps with medications and interventions.
  3. Utilizing Hospice of Cincinnati's comprehensive care options instead of a hospital or ED.
  4. Focusing on supporting the caregiver.

Hospice of Cincinnati offers a complete Physicians Guide for ESLD patients, which contains:

It would be our pleasure and honor to partner with you.

Hospice of Hamilton offers a complete Physicians Guide for ESLD patientsHow do I know when to refer my patient to the Pathways
for End Stage Lung Disease Program?

Answering these simple questions may serve as a guide:

  1. Is your patient optimally treated with inhalers, steroids, oxygen, pulmonary medications and antibiotics and still symptomatic?
  2. Does your patient have frequent exacerbations of respiratory distress at rest?
  3. Does your patient experience severe, refractory dyspnea, cachexia, debilitation, and frequent respiratory infections?
  4. Does your patient have symptoms that result in profoundly reduced quality of life?
  5. Has your patient had two or more ED visits or hospitalization in the past 6 months with little or no improvement following hospitalization?
  6. Has your patient had unintentional weight loss > 10% in the past 6 months?

If you answered "yes" to one or more of these questions, now may be an appropriate time to refer your patient to Hospice of Cincinnati. We would be happy to discuss your patient's specific situation and answer any questions about hospice appropriateness. Please feel free to call the referral center at (513) 792-6900.

Pathways for End Stage Lung Disease Literature and Materials for Physicians