It cannot be altered or used in any way other than as intended and described here. Place date, time, and residents palliative performance scale pps score where indicated on table. Using the palliative performance scale to estimate survival for patients at the end of life. The pps scale 1 was developed in 119 palliative care patients. Palliative care quality improvement program qip 2019 measure specifications. Guideline for estimating length of survival in palliative. The palliative performance scale pps is a modification of the karnofsky performance scale kps, designed specifically for measurement of physical status in palliative care table 2 2. Palliative care provides patients with relief from the symptoms, pain and stress of a serious illnesswhatever the diagnosis. Assess the patients functional state using the palliative performance scale.
The palliative performance scale ppsv2 version 2 is a communication tool for quickly describing a persons current functional level. The palliative performance scale performs well as a predictor of prognosis and has been used in hospital acute. Performance on each metric is provided to each physician to provide education and. Pdf the palliative performance scale pps, a modification of the. Pps was developed by victoria hospice society, british columbia. It aims to relieve suffering by identifying, assessing, and treating pain and other physical. Timely and appropriate identification of hospiceappropriate patients increases the likelihood that they and their families will benefit from compassionate, endoflife care. The palliative performance scale ppsv2 version 2 is a. The palliative prognostic score palliative care network. Palliative performance scale % ambulation activity and evidence of disease selfcare intake conscious level 100 full normal activity no evidence of disease full normal full 90 full normal activity some. Palliative performance scale pps the palliative performance scale pps is a validated and reliable tool used to assess a patients functional performance and to determine progression toward end of. A reliability and validity study of the palliative performance scale. Areas of pps use include prognostication, disease monitoring, care planning.
Palliative performance scale5e7 and the palliative prognostic score,8,9 but few have been developed into cancerspeci. The condensed collaborative care plans ccps are a quick reference tool for healthcare providers to use when developing care plans for cancer patients. The palliative performance scale4 ppsv2 is used to determine which plan is appropriate. Ppaalllliiaattiivvee ccaarree ccoollllaabboorraattiivvee. Stable pps 100 70%, transitional pps 60 40%, and endoflife pps 30 0%.
Programs may use ppsv2 with appropriate recognition. Gsf gold standard framework, ecog eastern cooperative oncology group, ppsv2polish polish translation of the palliative performance scale version 2, kps karnofsky performance score, ecog ps eastern cooperative oncology group performance. The palliative performance scale version 2 ppsv2 tool is to victoria hospice society and replaces the first pps published in 1996 j pall care 94. Peas the physicians endoflife care attitude scale pnpc problems and needs in palliative care instrument pnpcsv short version of the problems and needs in palliative care questionnaire poms profile of mood states pos palliative care outcome scale pps palliative performance scale pqli palliative. The palliative performance scale ppsv2 version 2 consultgeri. Palliative performance scale central lhin hospice palliative care. System esas and palliative performance scale pps tools 3. However, it does not take the place of a physicians. The pps tool and guidance notes are shown in section 2 pages 4 6. Palliative performance scale ppsv2 use of the pps ppsv2 allows common language about. Belvedere heights palliative performance scale pps nr g 528 endoflife protocol appendix a palliative performance scale pps is a clinical assessment tool used to assess the functional status of a palliative.
Palliative performance scale pps % date pps completed. The palliative performance scale pps has been shown to be both valid and useful for a broad range of palliative care patients. The palliative performance scale pps is a useful tool for measuring the progressive. Results showed that the participants were consistent in their scoring. Baik d1, russell d2, jordan l3, dooley f3, bowles kh4, masterson. The palliative performance scale pps is a useful tool for measuring the progressive decline of a palliative resident. Bestpractice tools from around the world are provided here to support primary care providers with palliative care delivery. Palliative wound care management strategies for palliative patients and their circles of care cme 1 ama pra category 1 credittm. The victoria hospice palliative performance scale pps, version 2 is an 11point scale designed to measure patients performance status in 10% decrements from 100% healthy to 0% death based on. Palliative performance scale pps the palliative performance scale pps is a validated and reliable tool used to assess a patients functional performance and to determine progression toward end of life. The pps scale 1 was developed in 119 palliative care patients at home. Implementing the integrated palliative care outcomes scale 2 overview new york state department of health recently issued a change to the dsrip palliative care project 3. Palliative care quality improvement program qip 2019. National hospice and palliative care organization palliative care resource series palliative care for cancer.
However, it does not take the place of a physicians professional judgment. Palliative care toolkit ontario palliative care network. Nursing home palliative care toolkit originally developed september 20, revised june 2014 this material was prepared by healthcentric advisors, the quality improvement organization support. Palliative performance scale ppsv2 centralhpcnetwork. Palliative care improves the quality of life for patients with a lifethreatening illness and for their families. Palliative performance scale correlates well with median survival for cancer patients score of 70 108 to 145 day median survival palliative performance index points based on pps, oral intake, edema, dyspnea, delirium score over 6 indicates survival of less than 3 weeks fast scale. Here are some of the guidelines to determine if your. The pps is divided into 11 categories that are measured in 10% decremental stages 100% to 0%.
Using the palliative performance scale to estimate. Performance and payment will be calculatedat the end of each 6 month. The palliative performance scale pps is a modification of the karnofsky performance scale kps, designed specifically for measurement of physical status in palliative care table 2. The palliative performance scale pps can help clinicians to recognize a. Palliative care in the outpatient setting a comparative effectiveness report final report april 27, 2016. Background accurate prognostic information is vital for patients, families and clinicians.
The palliative performance scale pps is recommended to be used to assess performance status. Palliative performance scale ppsv2 the victoria hospice palliative performance scale pps, version 2 is an 11point scale designed to measure patients performance status in 10% decrements from. A reliability and validity study of the palliative. The palliative care tools are organized according to the 3. Include evaluation of the individual elements of the patient s functional status. The palliative performance scale collaborativecurriculum. The palliative performance scale pps was first introduced in1996 as a. Palliative performance scale of 30% or less or rapid decline in performance scale established plan of care with no further investigations planned expected length of stay 2 weeks or less client or substitute. The palliative performance scale pps was first introduced in1996 as a new tool for measurement of performance status in palliative care. Palliative performance scale % ambulation activity and evidence of disease selfcare intake conscious level 100 full normal activity no evidence of disease full normal full 90 full normal activity some evidence of disease full normal full 80 full normal activity witheffort some evidence of disease full normal or reduced full.
As facilitators, sbl instructors do not provide students with the content to. The palliative performance scale pps is a tool for measurement of performance status in palliative care. The palliative performance scale pps is a valid, reliable functional. Palliative wound care management strategies for palliative. Appendix 6 abbey pain scale 74 appendix 7 use of the abbey pain scale 75 appendix 8 australia modified karnofsky performance scale 76 appendix 9 snap phases of palliation 77 appendix 10 gold standards of palliative. Palliative performance scale pps description the palliative performance scale is a reliable and valid tool used for assessing a patient s functional status. Using the palliative performance scale, only about 10% of patients with a score of 50% or less would be expected to survive more than 6 months. A comprehensive tool to guide your care plan mandated to be.
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