Description

The Palliative Performance Scale (PPS) is a modification of the Karnofsky Performance Scale intended for evaluating patients requiring palliative care. The score can help determine which patients can be managed in the home and which should be admitted to a hospice unit. It was developed in British Columbia, Canada.


Items for score:

(1) ambulation

(2) activity level

(3) evidence of disease

(4) self-care

(5) intake

(6) conscious level

 

Ambulation

Activity

Evidence of Disease

Percent

full

normal

none

100

full

normal

some evidence

90

full

normal with effort

some evidence

80

reduced

unable to perform normal job or work

some evidence

70

reduced

unable to do a hobby or work around home

significant disease

60

mainly sit or lie

unable to do any work

extensive disease

50

mainly in bed

unable to do any work

extensive disease

40

totally bed bound

unable to do any work

extensive disease

30

totally bed bound

unable to do any work

extensive disease

20

totally bed bound

unable to do any work

extensive disease

10

dead

NA

NA

0

 

 

Self-Care

Intake

Conscious Level

Percent

full

normal

full

100

full

normal

full

90

full

normal or reduced

full

80

full

normal or reduced

full

70

occasional assis-tance necessary

normal or reduced

full or confusion

60

considerable assistance required

normal or reduced

full or confusion

50

mainly assistance

normal or reduced

full or drowsy or confusion

40

total care

reduced

full or drowsy or confusion

30

total care

minimal sips

full or drowsy or confusion

20

total care

mouth care only

drowsy or coma

10

NA

NA

NA

0

 

Interpretation:

• maximum score: 100%

• minimum score: 0% (dead)

• The lower the score, the more severe the illness.

 

PPS Score

Average Survival in Hospice

50%

13.9 days

40%

10.3 days

30%

6.7 days

20%

2.6 days

10%

1.9 days

 


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