DETERMINING PROGNOSIS PPS: PALLIATIVE PERFORMANCE STATUS ( V2 )
Activity & Evidence of Disease Normal activity & work No evidence of disease Normal activity & work Some evidence of disease Normal activity with effort, Some evidence of disease Unable normal job / work Significant disease Unable hobby / housework Significant disease Unable to do any work Extensive disease Unable to do any activity Extensive disease Unable to do any activity Extensive disease Unable to do any activity Extensive disease Unable to do any activity Extensive disease
PPS Level
Ambulation
Self-Care
Intake
Conscious Level
Prognosis in Cancer (only), Median Survival
100 %
Full
Full
Normal
Full
90 %
Full
Full
Normal
Full
Normal or reduced Normal or reduced Normal or reduced Normal or reduced Normal or reduced Normal or reduced
80 %
Full
Full
Full
70 %
Reduced
Full
Full
Occasional assistance necessary Considerable assistance necessary
60 %
Reduced
Full or confusion
90 days
50 %
Mainly sit / lie
Full or confusion
Full or drowsy ± confused Full or drowsy ± confused Full or drowsy ± confused Drowsy or coma ± confused
40 %
Mainly in bed
Mainly assistance
30 %
Totally bed bound
Total care
50 days
20 %
Totally bed bound
Total care
Minimal to sips
Mouth care only
10 %
17 days
Totally bed bound
Total care
0 %
Dead
Palliative performance scale (PPSv2) version 2. Medical care of the dying. 4 th ed. P. 120. © Victoria Hospice Society, 2006. Used with permission. Anderson F et al. J. Palliat Care 1996. PMID 8857241
53 NB: These Reference Cards do not replace careful clinical judgment specific to each patient / family situation. PCIC: Palliative Care Interdisciplinary Curriculum is a collaborative effort of OhioHealth, The Ohio State University Wexner Medical Center, and Nationwide Children’s Hospital in Columbus, Ohio, USA, and other contributors. Permission to reproduce any or all of these PCIC Reference Cards is granted for non-commercial educational purposes only, provided that the attribution statement and copyright are displayed. To reproduce for all other purposes, contact Frank D. Ferris at info@pallmed.us. Copyright © Frank D Ferris 2013-2024. All rights reserved. V14.1, 2024
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