SilverStone Palliative Elegibilty Criteria & Referral Considerations

Who Qualifies?

Patients with advanced complex illness (e.g. metastatic cancer, late-stage heart, liver or kidney failure, COPD/Progressive pulmonary disease, Alzheimer’s disease, neurode generative disease, AIDS, COVID). After referral from a Doctor is received, SilverStone Palliative ensures that patients, their families and/or caregivers receive counseling and coordination of care and training specific to the patient’s medical needs and abilities.

Click Here for SilverStone Palliative Fax Referral Form

Clinical Triggers For Patient To Palliative Care

If you qualify for any of the following your doctor can refer you to palliative.
Chronic or persistent pain or symptoms (e.g.,dyspnea) requiring long-term management
Cancer with metastasis or without any available curative or life-prolonging therapies
Dementia causing inability to perform two ormore ADLs
Advanced disease and frequent infections
Two or more hospitalizations and/or emergency visits for the same serious condition within six months
Primary bedbound
Multiple serious illnesses or any single serious illness which remains symptomatic despite maximal treatment
Despite medical treatment, continued oxygen dependency, shortness of breath or adverse cardiac symptoms brought on by exertion
Unintentional and consistent weight loss oversix to twelve months
Serious illness necessitating significant and ongoing supervision or caregiving by others
Patient, family or physician uncertainty regarding the appropriateness, usefulness or desirability of available treatment options
In the absence of any of the foregoing and usingholistic medical judgment, would the primary care
Considering PDG, ICD, or hemodialysis
Goals of treatment and / or plan of care unclear
Patient and family in distress
Physician would not be surprised if the patient died within 12 months

How SilverStone Palliative Will Help

Medical collaboration / management of the patient across the care continuum at home, in the hospital, assisted living or nursing home settings.
Clarify goals of care and treatment
Advanced care planning – Ensure plan in place if / when things get worse
Self-management goals – To maintain motivation and hope despite serious illness
Complex symptom management – To avoid unnecessary hospitalizations
Complex communication – To help all members of the team, including family
Preventive care planning by a medical provider
Communication / collaboration with the PCP – Eyes and ears in the home to coney unique situations to the entire care team
Explore psychosocial and spiritual needs – Link with community resources to offer additional support to patients and families

Contact a SilverStone medial professional or send patient referrals via the following: