Patient has been diagnosed with a life-limited condition with a prognosis of six months or less if their disease runs its normal course

Frequent hospitalizations in the past six months

Progressive weight loss taking into consideration edema weight

Increasing weakness, fatigue, and somnolence

A change in cognitive and functional ability

Compromised Activities of Daily Living (ADLs) such as eating, bathing, dressing, toiling, transferring/walking, and continence

Deteriorating mental abilities

Recurrent Infections

Skin breakdown

Specific decline in condition