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Evaluation

Are you evaluating a patient who is being admitted to the hospital?

Does the patient have a potentially life-threatening or life-limiting condition?

Is/Does/Has the patient?

• expected to be alive in 12 months?

• had frequent hospital readmissions?

• admitted for difficulty in controlling moderate to severe symptoms?

• have complex care requirements?

• had functional deterioration (decline in function, feeding intolerance, unintended weight loss)?

• living in a long-term care facility or medical foster home?

• elderly with cognitive impairment and an acute episode such as hip fracture?

• have an incurable cancer that is metastatic or locally advanced?

• require chronic oxygen therapy?

• had an out-of-hospital cardiac arrest?

• have a history of being enrolled in a hospice program?

• have limited social support?

• have an advanced care plan?

Results

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