CONTINUOUS CARE CRITERIA

 

 

• Uncontrolled pain
  • Sudden onset or new manifestation of unmanageable pain
  • Ongoing pain control/management requiring frequent adjustment in dose or analgesic requiring constant monitoring and evaluation
  • Non-verbal signs of pain (groans and grimaces)
• Intractable nausea, vomiting diarrhea
• Respiratory distress

 

• • Symptoms of rales, rhonchi, wheezing, severe shortness of breath or ineffective airway clearance
• Intensive teaching

 

• • Complicated wound care, dressing changes, medication administration requiring intense interventions
  • Minimum of eight hours of teaching
• Seizures

 

• • Requiring intensive intervention, continuous monitoring
• Psychological problems and uncontrolled symptoms which can create significant stress on the patient/family

 

• • Behavioral or cognitive abnormalities causing severe agitation, disorientation or combative behavior
  • Severe depression and/or anxiety necessitating a change in environment or safety
  • Suicide ideation, gestures, attempts, threats of euthanasia
  • Acute breakdown or disruption in family dynamics, preventing family members from functioning as adequate caregivers either physically or emotionally
  • Death is imminent with unstable symptoms and caregiver stress
• Hemorrhage or Bleeding

 

• • Causing symptoms which are difficult for the family to manage
• Other symptoms

 

• Defined by the interdisciplinary team and unmanageable by the family