It includes specific activities to enhance access, quality of care, and health care system performance, within the federal governments mandate and levers for action. Best practice for measuring outcomes in palliative care. Aug 04, 2008 the palliative performance scale pps was first introduced by anderson and downing in 1996 as a new tool for measurement of performance status in palliative care. This type of care is focused on providing relief from the symptoms and stress of a serious illness. 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. Pdf use of the palliative performance scale pps for. Domain of issue from the model is listed on a separate page and is broken down. Correlation between braden scale and palliative performance scale in advanced illness. Report on impact of the palliative care outcome scale pos. It includes specific activities to enhance access, quality of care, and health care system performance, within the federal governments mandate and levers for. The palliative performance scale pps, a modification of the karnofsky performance scale, is presented as a new tool for measurement of physical status in palliative care.
The palliative performance scale ppsv2 version 2 is a. Download the handout for patients and families here. Clinicians request guidance to aid the routine use and interpretation of patient reported outcome measures proms, but tools are lacking. Use of palliative performance and symptom distress scales in. Lau f1, downing gm, lesperance m, shaw j, kuziemsky c. Click the edit link to modify or delete it, or start a new post.
The karnofski, palliative performance scale pps and palliative prognostic. This study investigates the use of pps as a prognostication tool for. Palliative performance scale pps and palliative care conferences. A global perspective nov 20 3 different settings for example screening, supporting clinical activity, checking the quality of work of staff, for staff training or as part of a complex intervention and quality of life assessment. 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 modification of the karnofsky performance scale kps, designed specifically for measurement of physical status in palliative care table 2.
If you like, use this post to tell readers why you started this blog and what you. Begin nursing guidelines for endoflife care within one week of admission for all residents. The mean, median, and range of the survival time of the cohort by age, gender, diagnosis, site, and initial pps are shown in table 2. Edmonton symptom assessment system to assess symptom management. Palliative performance scale central lhin hospice palliative care. Its initial uses in victoria, british columbia included communication, analysis of home nursing care workload, profiling admissions and discharges to the hospice unit and. 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. Palliative performance scale how is palliative performance. It cannot be altered or used in any way other than as intended and described here.
Performance scales can help physicians, families of. Pps has been used in many countries and has been translated into other languages. Hospice and palliative care geri flashcards quizlet. 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. Palliative performance scale ppsv2 victoria hospice society. The palliative performance scale ppsv2 version 2 is a communication tool for quickly describing a persons current functional level. Use of the palliative performance scale pps for endof. The clinical pathway was created based on current evidence using the palliative performance scale pps and the edmonton symptom assessment scale esas tools to trigger the sequencing and timing of therapeutic interventions at different stages of the patients disease.
The pps is divided into 11 categories that are measured in 10% decremental stages 100% to 0%. Patients with a pps palliative performance scale score less than or equal to 40 points, for whom a drastic decrease in hrqol is expected, and those who did not voluntarily agree to participate in the study by signing an informed consent form were also excluded. If you like, use this post to tell readers why you started this blog and what you plan to do with it. The palliative performance scale pps 4 is a reliable and valid tool that has been used to measure functional performance of, 2,7 and to predict survival among, palliative care cancer patients. Abstract this study describes the significant correlation between the braden scale bs and the palliative performance scale pps in patients with advanced illness that has not been previously.
Score the residents palliative performance scale pps as indicated by referring to the victoria hospice. 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. Patients complete the palliative performance scale and the mccorkle symptom distress scale questionnaires at baseline, at 1020 days after surgery, at 1421 days after courses 3 and 6 of chemotherapy if applicable, and at approximately 23 months at the patients first followup visit. Use of palliative performance scale in endoflife prognostication. Ndoc reference for palliative performance scale pps 2001 2009 thornberry ltd. Currently, there are more than 1,400 hospital palliative care programs in the u. Palliative performance scale ppsv2 victoria hospice. A reliability and validity study of the palliative. Palliative performance scale support for home inhome care. The egss survey is designed to evaluate grief support services from the perspective of the recipients of the services.
The karnofsky scale is the oldest and the most commonly used figure 2, and the pps scale is. Pdf the palliative performance scale pps, a modification of the karnofsky performance scale, is presented as a new tool for measurement of physical. Palliative performance scale pps description the palliative performance scale is a reliable and valid tool used for assessing a patients functional status. Handout for patients and families get palliative care. Newer scales, such as the palliative prognostic score and the palliative performance scale. In this way, leftward columns columns to the left of any specific column. Jun 15, 2011 the scale below is a tool used by hospice agencies and other medical professionals to help assess an individuals readiness for hospice care. The pps scale 1 was developed in 119 palliative care patients at home 73% with pps rating between 4070% and 2 patients admitted to a hospice unit 83% with pps rating between 2050% on admission in victoria, british columbia. The palliative performance scale pps medical care of the dying, 4th ed p.
Palliative performance scale pps and palliative care. What is the palliative performance scale pps page 4. Palliative performance scale pps functional assessment scale fast a hospice is a program designed to care for the dying and grams should include. Scroll to the bottom for more detailed information. Yet, their findings are different in terms of the presence of distinct pps survival profiles and significant covariates. Palliative performance status, heart rate and respiratory. Its initial uses in victoria include communication, analysis of home nursing care workload, profiling admissions and discharges to the hospice unit, and, possibly, prognostication. All staff need to understand the process of utilizing the palliative performance scale and have support to sustain the utilization of this tool on the care units. Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e. Palliative performance scale pps version 2 nursing. The overall survival time accounting for the 47 censored patients had a median of 24 days 95% confidence interval ci 19, 29, a mean of 71 days 95% ci 61, 81 and a range of performance status scale see table 1 and ecog scale.
Guidelines for discharge planning for first nations patients returning to home community for palliative care pdf, 43 kb the palliative performance scale. This study evaluated the reliability and validity of pps. Fully active, able to carry on all predisease performance without restriction. Guideline for estimating length of survival in palliative. There are reported studies in which the palliative performance scale pps is used as a prognostic tool to predict survival of these patients. The palliative performance scale pps was first introduced in1996 as a new tool for measurement of performance status in palliative care. Consider how outcome measurement will inform future policy and service delivery in both jurisdictions.
The palliative performance scale needs to be implemented as a multidisciplinary approach. The pps, which has 11 categories and uses values from 0 to 100, is a modification of the karnofsky performance status kps scale. Palliative care for the patient with incurable cancer or. Possible investigations and interventions before ordering investigations, ensure that the results will change management to improve quality of life andor prognostication.
Use of palliative performance and symptom distress scales. Use of the palliative performance scale pps for endoflife prognostication in a palliative medicine consultation service. Can not compute because not all questions was answered. The pps is designed to allow health care professionals to measure performance status at the endoflife based on five objective indicators.
Guideline for estimating length of survival in palliative patients. 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. Evaluate symptom burden use a scale like the esasr refer to appendix c. Palliative care for the patient with incurable cancer or advanced disease part 1. These steps are repeated until all five columns are covered before assigning the actual pps for that patient. Programs may use ppsv2 with appropriate recognition. Palliative care pronounced palleeuhtiv is specialized medical care for people with serious illness. The scale below is a tool used by hospice agencies and other medical professionals to help assess an individuals readiness for hospice care. Pdf use of the palliative performance scale pps for end.
The ppsv2 allows more common language about performance status than the karnofsky performance scale from which it is based. We aimed to develop a clinical decision support tool cdst focussed on. This is a good tool for families and patients to be familiar with, as well, however. The palliative performance scale pps medically speaking. The palliative performance scale pps measures the functional status of the patient. To wrap all of this up there are two things i want you to be able to walk away from this discussion and those are being able to demonstrate and use the pps as well as utilize the hospice card provided with key information such as the palliative performance scale, fast scale, and eligibility criteria depending on the diagnosis. The palliative performance scale pps was first introduced by anderson and downing in 1996 as a new tool for measurement of performance status in palliative care. Pps was developed by victoria hospice society, british columbia. Approach to care 2017 3 investigations refer to appendix b. However, it does not take the place of a physicians professional judgment. The palliative performance scale ppsv2 version 2 consultgeri.
Begin at the left column and read downward until the appropriate ambulation level is reached. The most commonly used are the karnofsky performance status scale see table 1 and ecog scale. The action plan on palliative care action plan lays out health canadas fiveyear plan to tackle issues uncovered through the development of the framework on palliative care in canada. The main goal of the team is to educate staff on the palliative performance. Ebscohost serves thousands of libraries with premium essays, articles and other content including use of palliative performance scale in endoflife prognostication. Palliative performance scale how is palliative performance scale abbreviated. Palliative performance scale pps1 and is used to determine the care for. Pps palliative performance scale patient classification. Use of the palliative performance scale pps for endoflife. The best practice for measuring outcomes in palliative care workshop was held on 19th september 2017. A webbased, case scenarios study with a testretest format was used to determine reliability.