Sepsis as Hospice Diagnosis

Specialties Hospice

Published

Hi all! I wondered if sepsis can be used as a primary admitting diagnosis for hospice?

Thanks,

Linda

Where did you find this? I have a pt with necrotizing pancreatitis that the NP was late to do a F2F, he was debility, and qualifying nicely but now he has to be re-admitted and I am not sure what dx to use! Any thoughts?

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Specializes in Critical Care.
I think you are misunderstanding the question. ....im pretty positive the original poster was referring to HOSPICE ADMITTING TERMINAL DIAGNOSIS. This is totally different than a DRG for which a hospital discharges to a sub-acute or hospice level of care. We dont use DRGs in hospice. ....

Sepsis is more of a symptom r/t to a diagnosis. ...like where did infection originate, or what was underlying cause? Whatever the answer... would likely be the hospice terminal diagnosis.

According to the article sepsis is an approved hospice admitting diagnosis, actually the most common. Sepsis isn't a symptom, it's a diagnosis, hypotension due to sepsis would be a symptom.

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We have never used Sepsis where I work. I am going to have to inquire about it tomorrow.:):)

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Specializes in Hospice, Geriatrics, Wounds.

The terminal dx is whatever the attending & med director certify on admit as having a prognosis of 6m or <. just bc there isnt disease specific criteria for a certain dx doesnt mean that particular cant be used. still clinical guidelines and non which can used to justify the terminally of dz....>

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I've seen asystole as a terminal diagnosis and the patient was alive and on service. :)

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Specializes in Hospice, Geriatrics, Wounds.
I've seen asystole as a terminal diagnosis and the patient was alive and on service. :)

Wow! WOW!

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Specializes in Hospice Nursing.

Now there's a Medicare red flag!

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According to the article sepsis is an approved hospice admitting diagnosis, actually the most common.

Really? Never, ever seen it used.

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You can google Palmetto Hospice LCDs and it will pull up all the current active LCDs that are allowed to be used.. I'm a hospice NP that does F2F visits so I deal with this every day.

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Specializes in Hospice, Geriatrics, Wounds.

According to the article sepsis is an approved hospice admitting diagnosis, actually the most common. Sepsis isn't a symptom, it's a diagnosis, hypotension due to sepsis would be a symptom.

I've been a hospice nurse for quite a while.....never, ever heard of this...as i said in an earlier post...I think you are confusing HOSPICE ADMITTING DX with hospital referring dx...

Where's the evidence to back up your statement regarding sepsis being the most common admitting dx? I'm very interested......

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My med director would say ... What caused the sepsis... And that would be her admitting diagnosis with sepsis as one of the 2nd diagnoses.. She always always looks at the big picture and then goes down the trail from there...

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Specializes in NICU, PICU, Transport, L&D, Hospice.

I've NEVER seen a hospice admitting diagnosis of sepsis.

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