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Renal Disease Hospice Eligibility Criteria

End-stage kidney disease, also called renal disease, occurs when the kidneys are so badly damaged that the patient cannot survive without dialysis or a kidney transplant. When a patient chooses to end dialysis treatments, Crossroads Hospice & Palliative Care provides supportive care to keep the patient comfortable and control end-stage kidney failure symptoms.

End-stage renal/kidney disease patients are eligible for hospice care. Read the list below to see the renal failure hospice criteria requirements.

Renal failure hospice criteria:

Patients with end-stage renal disease may be eligible for hospice care when they have: 

  • Very poor kidney function (low creatinine clearance and high creatinine levels)

  • Uremia (buildup of toxins), including confusion or decreased alertness 

  • Persistent nausea and vomiting 

  • Decision to stop or not pursue dialysis 

  • High potassium levels that are difficult to control 

  • Complications such as hepatorenal syndrome or uremic pericarditis 

  • Low albumin levels (poor nutrition) 

  • Very low platelet count 

  • Ongoing symptoms, including: Itching (pruritus), loss of appetite (anorexia) 

  • Declining physical function, including: Difficulty with daily activities or self-care, or reduced mobility or activity levels 

  • Presence of other serious or worsening health conditions contributing to overall decline 

When to call hospice for renal disease.

It may be time to call hospice if the patient is experiencing a decline in physical function, increasing symptoms (such as fatigue, nausea, or confusion), frequent hospitalizations, or has chosen to stop dialysis.

Crossroads Hospice & Palliative Care partners with the patient’s current physicians to develop a personalized care plan for end-stage kidney patients. Our experienced team of nurses, chaplains, aides, social workers, and other healthcare professionals provide compassionate support for both patients and their families. Patients who meet the hospice requirements for renal disease can receive care in their home, an in-patient facility, a hospital, or anywhere the patient calls home.

Not sure if it’s time for hospice? Take a hospice quiz to help determine if you or your loved one may be eligible for hospice care.

If you would like more information or would like a hospice consultation, please call us at 855-327-4677.

Frequently asked questions about hospice criteria for renal disease.

Can a patient receive hospice while on dialysis?

In most cases, hospice is provided when a patient chooses to stop dialysis, although some programs may offer concurrent care in limited situations.

What happens when dialysis is stopped?

Most patients live days to weeks after stopping dialysis, depending on overall health and kidney function. 

Who determines hospice eligibility for kidney failure?

A physician and hospice medical director certify eligibility based on clinical criteria and prognosis.

Does Medicare cover hospice for renal disease?

Yes, Medicare covers hospice care for patients who meet eligibility criteria. 

Ready to refer a patient?

If you're a healthcare professional ready to refer a patient with renal disease to hospice care,  please submit a patient referral form online. Our dedicated team is here to provide support and guidance throughout the referral process. 

When is it time to call hospice? Get a free eligibility guide now.