Terminal Illness

What We Know About Terminal Illness in the CUP Context

Terminal illness in the TX CUP context refers to conditions with a prognosis the treating physician has documented as limited. The category is intentionally broad — it can cover advanced cancers, end-stage organ disease, late-stage neurodegenerative disease, and other conditions where the clinical trajectory is unmistakable.

How TX CUP Addresses Terminal Illness

Low-THC products under the TX CUP for terminal-illness referrals are evaluated entirely in the context of symptom burden and quality of life — pain, nausea, appetite, sleep, anxiety. There is no therapeutic intent beyond comfort.

Our Experience Treating Terminal-Illness Referrals Under CUP

Considerations CURT physicians evaluating terminal-illness referrals typically address:

• Coordination with the patient’s hospice or palliative care team
• Goals of care alignment
• Drug-interaction screening against opioids, antiemetics, anxiolytics commonly used in this population
• Form-factor considerations given the patient’s functional status
• Family and caregiver involvement in administration
• Documentation expectations from the hospice or palliative team

What to Expect at the Evaluation

A CURT physician evaluating a terminal-illness referral typically reviews:

• The underlying diagnosis and prognosis documentation
• Hospice or palliative care notes if applicable
• Current symptom-management regimen
• Family and caregiver context
• Specific goals of the referral

Evaluations are typically conducted with caregiver presence at the patient’s request. Telehealth is often appropriate for patients with limited mobility or transportation barriers.

Common Patient Questions About Terminal Illness and the TX CUP

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