ARCHETYPE Palliative Performance Scale (PPSv2) (openEHR-EHR-OBSERVATION.ppsv2.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.ppsv2.v0
ConceptPalliative Performance Scale (PPSv2)
DescriptionPalliative Performance Scale (PPSv2) is a prognostic tool used to measure physical status in palliative care. It is a modification of the Karnofsky Performance Scale.
UseUse to record the assessment of a patient's prognosis in palliative care with the PPSv2 tool. PPSv2 covers ambulation, activity and extent of disease, ability to take care of yourself, food intake, and level of consciousness. It can provide a brief description of a patient’s current status, inform workload assessment, and it can also be used to estimate survival times.
MisuseNot to be used to record a Karnofsky Performance Scale assessment - use OBSERVATION.karnofsky_performance_status for this purpose.
PurposeTo record the assessment of a patient's prognosis in palliative care with the PPSv2 tool.
ReferencesAnderson F, Downing G, Hill J, Casorso L, Lerch N. Palliative Performance Scale (PPS): A New Tool. Journal of Palliative Care. 1996;12(1):5-11.
Copyright© Apperta Foundation
AuthorsAuthor name: Colin Brown
Organisation: Edinburgh Napier University
Email: colin.brown@napier.ac.uk
Date originally authored: 2021-03-04
Other Details LanguageAuthor name: Colin Brown
Organisation: Edinburgh Napier University
Email: colin.brown@napier.ac.uk
Date originally authored: 2021-03-04
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=Apperta UK, references=Anderson F, Downing G, Hill J, Casorso L, Lerch N. Palliative Performance Scale (PPS): A New Tool. Journal of Palliative Care. 1996;12(1):5-11., current_contact=Colin Brown, colin.brown@napier.ac.uk, original_namespace=uk.org.clinicalmodels, original_publisher=Apperta UK, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=146C967079ABC97CB83C778FBA007000, build_uid=44f448db-0f64-413c-88cd-c7100c8e4b5b, revision=0.0.1-alpha}
Keywordspalliation, palliative, end-of-life, EoL, prognosis, prognostic
Lifecyclein_development
UIDac145c97-c0f9-4439-821d-ca250b35eb36
Language useden
Citeable Identifier1051.32.1142
Revision Number0.0.1-alpha
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  • Full [No restrictions or assistance.]
  • Reduced [The individual's ability to walk and transfer is reduced and may require occasional assistance.]
  • Mainly sit/lie [The individual is mainly sits up or lies in bed.]
  • Mainly in bed [The individual mainly lies in bed.]
  • Totally bed bound [The individual is unable to do get out of bed or do self-care.]
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  • Normal activity & work; no evidence of disease [The individual is able to perform normal daily activities and work; no evidence of disease.]
  • Normal activity & work; some evidence of disease [The individual is able to perform normal daily activities and work; some evidence of disease.]
  • Normal activity & work with effort; some evidence of disease [The individual is able to perform normal daily activities and work with effort; some evidence of disease.]
  • Unable normal activity & work; significant disease [The individual is unable to perform normal daily activities and work; evidence of significant disease.]
  • Unable hobby/house work; significant disease [The individual is unable to do hobbies or house work; evidence of significant disease.]
  • Unable to do any work; extensive disease [The individual is unable to do any work; evidence of extensive disease.]
  • Unable to do most activity; extensive disease [The individual is unable to do most activity; evidence of extensive disease.]
  • Unable to do any activity Extensive disease [The individual is unable to do any activity; evidence of extensive disease.]
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  • Full [The individual is able to do all normal self care activities such as transfer out of bed, walk, wash, toilet and eat without assistance.]
  • Occasional assistance [The individual requires minor assistance from several times a week to once every day, for normal self care activities..]
  • Considerable assistance [The individual requires moderate assistance every day, for some self care activities, e.g. getting to the bathroom or cutting up food.]
  • Mainly assistance [The individual requires major assistance every day, for most self care activities, e.g. getting up, washing face and shaving. Can usually eat with minimal or no help. This may fluctuate with level of fatigue.]
  • Total care [The individual always requires assistance for all care. May or may not be able to chew and swallow food.]
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  • Normal [The individual eats normal amounts of food for them as when healthy.]
  • Reduced [The individual's food intake is less than normal amounts when healthy.]
  • Minimal to sips [The individual eats very small amounts, usually pureed or liquid, and well below normal intake.]
  • Mouth care only [No oral food intake.]
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  • Full [The individual is fully alert and orientated, with normal (for the patient) cognitive abilities (thinking, memory, etc).]
  • Full or confusion [The individual's level of consciousness is full or may be reduced. If reduced, confusion denotes delirium or dementia which may be mild, moderate or severe, with multiple possible etiologies.]
  • Full or drowsy +/- confusion [The individual's level of consciousness is full or may be markedly reduced; sometimes included in the term stupor. Implies fatigue, drug side effects, delirium or closeness to death.]
  • Drowsy or coma +/- confusion [No response to verbal or physical stimuli; some reflexes may or may not remain. The depth of coma may fluctuate throughout a 24 hour period. Usually indicates imminent death.]
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2: 90%
3: 80%
4: 70%
5: 60%
6: 50%
7: 40%
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9: 20%
10: 10%
11: 0%
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