Critical Care and Palliative Care Medicine Together in the ICU

Inclusion Criteria

• •1. Age \>80 years
• •2. Apache II score \>14
• •3. SOFA score \> 9
• •4. Pre-existing functional dependency (admitted from ALF, SNF, LTAC, etc.)
• •5. Late stage dementia (bed-bound, nonverbal, incontinent, or unable to self-nourish/tube feed)
• •6. Stage 4 metastatic disease
• •7. Consideration to place permanent feeding tube or trach
• •8. Recurrent ICU admissions in the past year
• •9. Post-cardiac arrest
• •10. End-stage disease (lung, ESRD, ESLD)
• •11. ICU perceived need