If you or your loved one has received a life-altering dementia diagnosis, you’re probably wondering when hospice care is necessary. Because dementia is typically a slow-progressing illness, knowing when it’s time to call hospice can be challenging. However, there are some common indicators that you can use to tell when it’s time to use a compassionate hospice provider like Orange Hospice.
Common Indicators That It’s Time For Hospice

While there are eligibility requirements like a prognosis, there are signs that suggest it’s time for hospice. These include:
- Loss of control over bodily functions
- Severe mobility issues
- Limited verbal communication
- Limited ability to maintain personal hygiene
- Unable to dress without assistance
- Incontinence of the bladder and bowel
- Nutritional deficiencies, like the inability to sustain fluid and calorie intake
- Refusing to eat or difficulty swallowing
Dementia can take years to progress, and sometimes additional complications can occur, which will prompt the need for more intensive care via hospice. Some common complications of progressive dementia include:
- Recurrent fevers that persist even after antibiotic treatments
- Bed sores, which indicate severe tissue damage
- Lung infections caused by inhaling food into the lungs
- Septicemia, which can spread throughout the body
- Sudden changes in mental status caused by infections and other underlying health issues
All of these signs are a clear indicator that a dementia patient needs hospice care tailored to their unique physical, spiritual, and emotional needs.
Hospice Eligibility Criteria
To qualify for hospice care under Medicare, specific criteria must be met. Firstly, the patient must have a prognosis with a life expectancy of six months or less. Then, the functional abilities and comorbidities of the patient are looked at. This is done using the functional assessment staging tool (FAST scale). Hospice providers use this tool to evaluate the patient’s cognitive, physical, and behavioral functions in areas like eating, communication, and the ability to carry out daily living activities and basic personal hygiene. A stage 7 and above score indicates that the patient is experiencing severe cognitive decline.
Common comorbid conditions that are known to accelerate the decline of dementia patients are:
- Liver disease
- Stroke
- Diabetes
- Congestive heart failure (CHF)
- Chronic obstructive pulmonary disease (COPD)
- Cancer
- Kidney insufficiency
Compassionate and Supportive Hospice Care in Orange County
Choose a hospice provider that understands the symptoms of dementia and how to provide expert care, like Orange Hospice. Our friendly and compassionate care team is experienced in providing innovative care that gives each patient respect and dignity. To learn more about our dementia care, please contact our team at (741) 790-0594.