ESRD happens when your kidneys are no longer able to work at the required level that is needed to sustain life. Renal disease is classified in stage 1 through 5. When your classification is 5, your kidneys function poorly and they are not able to remove the waste products in your blood.
In most cases, renal disease is caused by other health problems such as diabetes, high blood pressure, and genetic diseases. Sometimes your kidneys may stop working suddenly after suffering a heart attack.
While not all signs and symptoms may occur – below reflects common signs and symptoms:

The patient has 1 and either 2 or 3. Documentation of conditions in #4 support hospice eligibility.
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** Creatine Clearance Calculation
(140 – age in years) x (weight, in kg) – 72 x (serum creatine in mg/dl)
Multiply answer by 1 for men and by 0.85 for women
The absence of one or more of these findings, comorbidities may also support eligibility for hospice care.
The patient has 1 and either 2 or 3. Documentation of conditions in #4 support hospice eligibility.
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OR