Include, but are not limited to COPD, Cor Pulmonale, Pulmonary Fibrosis Patient must exhibit the following: «     Severe chronic lung disease:

o Dyspnea at rest, poor responsive to bronchodilators resulting in decreased functional capacity

o Progression of end stage pulmonary disease- pulmonary infections and/or respiratory failure

• Hypoxemia at rest on room air OR hypercapnia
• Cor pulmonale; right-sided heart failure
  secondary to pulmonary disease

Supporting documentation includes:

• Progressive weight toss of >10% over the prior 6months
• Resting tachycardia- Heart Rate >100 bpm
  Signs/Symptoms:

.     Dyspnea at rest or with exertion

• Oxygen-dependent
• Wheeling, diminished breath $sounds

 

• Increased expiratory phase: slowed forced
  expiration; use of accessory muscles for breathing
• Cyanosis; pallor
• Severe cough

Limited physical ability due to shortness of breath, fatigue, weakness