Cancer that has spread, with advanced disease process, weight loss, confusion, etc.
Congestive Heart Disease with severe fatigue, shortness of breath at rest, edema
Dementia when the patient is bed-bound and incapable of personal care with continuing weight loss and loss of meaningful speech
End Stage Immune Disorders
Chronic Lung Disease with shortness of breath at rest, oxygen dependence, frequent hospitalization
Neuro-Muscular Disorders such as ALS (“Lou Gehrig’s Disease”), advanced Parkinson’s disease or MS (multiple sclerosis) with rapid progression, loss of muscle use and weight loss
Multi-System Breakdown with primary organ failure due to conditions such as end-stage diabetes and end-stage kidney disease that require total care
Stroke resulting in coma, inability to swallow and continuing weight loss and need for total care
