End-Stage Renal Disease 

Provided by Altus Hospice 

End-Stage Renal Disease (ESRD) is associated with impairments, activity limitations and disability with the identification of specific structural/functional impairments and any relevant activity limitations.

Ultimately, in order to support a hospice plan of care, the combined effects of ESRD and any identified secondary condition(s) and/or co-morbidities should be such that most beneficiaries with the identified impairments would have a prognosis of six months or less.

Secondary and co-morbid condition(s) themselves may be associated with a new set of structural/functional impairments that may or may not respond/be amenable to treatment.

1. ESRD complicated by co-morbid conditions such as:
   1. Coronary Artery Disease
   2. Peripheral Vascular Disease
   3. Vascular
2. Oliguria
   1. Urine output less than 400cc/24 hour
3. Uremia (clinical symptoms of renal failure)
   1. Confusion
   2. Nauseas/vomiting
   3. Generalized Pruritus
   4. Restlessness
4. Fluid Overload
5. Creatinine Clearance or <10 cc/min or 15cc/min with diabetes
6. Serum Creatinine > 8.0mg/dl or 6.0mg/dl with diabetes
7. Dialysis burdens outweigh benefits

In 2008, over 200,000 people with end-stage kidney disease due to diabetes were living on chronic dialysis or with a kidney transplant in the US.

Altus Hospice professionals are available for patient and family consultations at any time. There is absolutely no obligation or charge to the patient. Hospice care is covered by Medicare, Medicaid, and most private insurance carriers. 

For more information call 888-873-1822 or visit us at www.altushospicecare.com

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