From the Research
Parkinson's disease can be a hospice diagnosis when the patient has reached an advanced stage with significant functional decline, despite optimal medical management, and a life expectancy of six months or less, as supported by the most recent study 1.
Key Factors for Hospice Eligibility
- Advanced stage of Parkinson's disease (stage 4 or 5)
- Significant functional decline despite optimal medical management
- Life expectancy of six months or less
- Presence of complications such as:
- Recurrent infections
- Aspiration pneumonia
- Significant weight loss (more than 10% in the last 6 months)
- Frequent falls
- Dysphagia requiring tube feeding consideration
- Unintelligible speech
- Cognitive decline or dementia
- Respiratory compromise
Recent Study Findings
The 2025 study 1 found that people with Parkinson's disease were more likely to experience long stays in hospice care compared to those with Alzheimer's disease, and were less likely to be disenrolled for extended prognosis. This study highlights the importance of considering hospice care for patients with advanced Parkinson's disease.
Clinical Considerations
When evaluating a patient with Parkinson's disease for hospice eligibility, it is essential to consider the overall decline trajectory, rather than just the presence of the disease itself. The focus of care should shift from disease modification to comfort and quality of life at advanced stages. A physician's assessment of the patient's life expectancy and the presence of qualifying symptoms are crucial in determining hospice eligibility.