• Stage seven or beyond on the FAST scale
  • Unable to ambulate without assistance
  • Unable to dress without assistance
  • Unable to bathe without assistance
  • Urinary and fecal incontinence, intermittent or constant
  • Unable to express needs
  • One or more of the following:
    • Aspiration pneumonia
    • Recurrent UTI
    • Septicemia
    • Stage 3-4 decubitus ulcers
    • Recurrent fevers
    • Weight loss
    • No dialysis
    • Creatinine clearance < 10cc/min (15cc/min in diabetics)
    • Renal disease
    • No dialysis
    • Creatinine clearance < 10cc/min (15cc/min in diabetics)
  • Supporting indicators:
    • Signs of uremia
    • Intractable fluid overload
  • Oliguria <400cc/24 hours