Dementia: Alzheimer Disease:

Patient should have all of the following signs and symptoms to be deemed terminal:

• Assistance with eating, bathing and ambulation
• Urinary and fecal incontinence
• Speech is limited to 6 words or less or speech is meaningless and inappropriate
• Impaired nutritional status (with or without peg tube feedings)- progressive weight loss over the prior 6 months,
• Karnofsky score of 50% or less
  Supporting documentation Includes;
• Dysphagia
• Urinary Tract infection
• Aspiration pneumonia
• Decubitus ulcers, stage 3-4
• Sepsis or fever recurrent after antibiotic treatment