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Overview :
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 |
|