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About Us – Devinity Care

About Us

About Hospice

Devinity Hospice provides expert in Pain and Symptom Management with the opportunity to live life to the last moment with dignity, along with comfort and care designed to meet the physical, emotional, and spiritual needs of terminally ill clients and their families.
We believe in truly divine care and have a sacred calling to serve. We honor the opportunity to be a part of your family’s decision-making processes by respecting the wishes of the patients under our care as well as their families. Our patient focus plan of care which provides compassion, dignity, comfort and respect is tailored to unique needs and desires of your loved ones.
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Conditions

Below are the Medicare/Medicaid approved diagnoses for hospice. Click here for a printable version.
Please call 281-570-4072 with any questions.

End-Stage Pulmonary Disease (e.g. COPD)

  • Severe chronic lung disease
  • Corpulmonale/right-sided heart failure
  • Cardiogenic embolic disease
  • Recurrent pulmonary infections
  • Dyspnea at rest
  • Resting tachycardia > 100/min
  • p02 < 55 mmHg – or 02 sat < 88% on room air
  • FEV 1 < 30% after bronchodilators

    • End-Stage Neurologic Disease (ALS)

  • Critically impaired respiratory function
  • Severe nutritional insufficiency
  • Sleep disordered breathing
  • FVC < 40%
  • Dyspnea at rest/orthopnea
  • Use of accessory respiratory musculature
  • Weakened cough
  • Reduced speech/vocal volume

    • End-Stage Heart Disease (e.g. CHF, CAD)

  • Functional Class IV NYHA Assessment
  • Symptomatic despite optimal medical management with diuretics and vasodilators
  • Not a candidate for or declining surgical procedures
  • Supraventricular/ventricular arrhythmias resistant to treatment
  • Angina at rest
  • Ejection fraction < 20%
  • History of; cardiac arrest or resuscitation, cardiogenic embolic disease, unexplained syncope

    • End-Stage Liver Disease

  • Not seeking or a candidate for liver transplant
  • Ascites refractory to treatment
  • Peritonitis
  • Hepatorenal syndrome
  • Encephalopathy
  • Recurrent variceal bleeding
  • Progressive malnutrition
  • PTT > 5 seconds above control
  • Serum albumin < 2.5g/dl

    • End-Stage Renal Disease

  • Not seeking or a candidate for dialysis, renal transplant or discontinuing dialysis (prognosis < 6 months if on dialysis)
  • Serum Creatinine > 8 mg/dl (> 6 mg/dl for diabetics)
  • Creatinine Clearance < 10 cc/min (< 15 cc/min for diabetics)
  • Hyperkalemia (> 7.0 meq/l)
  • Signs of uremia/oliguria < 400 cc/24 hrs

    • HIV

  • Karnofsky Performance Scale (KPS) < 50%
  • CD4+count < 25cells/mcl
  • Viral load > 100,000 copies/ml
  • CNS lymphoma, visceral Kaposi’s sarcoma,
  • Recurrent infections unresponsive to therapies
  • Chronic persistent diarrhea > 1 year

    • Cancer Diagnoses

  • Disease with metastases at presentation
  • Progression from early stage of disease to metastatic disease
  • Progression from early stage of disease to metastatic disease
  • Continued decline in spite of therapy
  • Patient declines further disease directed therapy
  • Note: Certain cancers with poor prognoses (e.g., small cell lung cancer, brain cancer and pancreatic cancer) may be hospice eligible without fulfilling the other criteria

    • End-Stage Dementia/Alzheimer’s

  • FAST score > 7
  • Unable to walk, bathe or dress without assistance
  • Increasing urinary and fecal incontinence
  • No consistent meaningful verbal communication
  • Medical complications: aspiration pneumonia, septicemia, stage 3-4 decubiti, recurrent fever
  • Insufficient fluid/caloric intake
  • Weight loss >10% over previous six months
  • Serum albumin < 2.5g/dl

    • Stroke and Coma

  • Karnofsky Performance Scale (KPS) < 40%
  • Palliative Performance Scale (PPS) < 40%
  • Absent verbal response
  • Urinary and fecal incontinence
  • Dysphagia
  • Insufficient fluid/caloric intake
  • Weight loss > 10% over past 6 months
  • Serum albumin < 2.5g/dl
  • Medical complications: aspiration pneumonia,
  • Stage 3-4 decubiti, recurrent fever,
  • Life-limiting conditions (prognosis < 6months)
  • Karnofsky Performance Scale (KPS) < 70%
  • Palliative Performance Scale (PPS) < 70%
    • Devinity Hospice provides expert in Pain and Symptom Management with the opportunity to live life to the last moment with dignity, along with comfort.

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