Palliative care for providers texas health and human services. Bowel performance scale, constipation, diarrhea, hospice, palliative care, assessment tool. Palliative performance scale pps 1 palliative performance. The ipos is a 10 question survey that can be used to assess symptoms that may be related to palliative care needs and to determine if interventions were. Palliative care data collection online survey instructions. This study evaluated the reliability and validity of pps. Use of the palliative performance scale pps for endof. Palliative performance scale ppsv2 pps level ambulation. 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 care is specialty level, interdisciplinary care that includes active, total care of patients whose disease is not responsive to curative treatment.
Dra gabriela moya palliative performance scale pps en pacientes oncologicos duration. The variables used were initial pps score, age, gender, diagnosis. That need prompted the development of the victoria bowel performance scale bps beginning in 2002. Prognosis palliative performance scale pps of 50% or less and expected prognosis of geri. Appendix 2 appendix 2 palliative performance scale pps adapted from anderson, fern et al. 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.
The egss survey is designed to evaluate grief support services from the perspective of the recipients of the services. Begin nursing guidelines for endoflife care within one week of admission for all residents. Palliative performance scale, collaborative care plans and symptom management. Outcome measurement in palliative care the essentials european. This is the palliative performance scale see page 8. Alberta health services palliative and endoflife care provincial framework. 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. Serial palliative performance scale pps assessments may predict functional decline and prognosis in cancer and. It cannot be altered or used in any way other than as intended and described here. The palliative performance scale pps is a tool for measurement of performance status in palliative care. November, 2010 5 provincial palliative care integration project resource manual palliative performance scale pps description the palliative performance scale is a reliable and valid tool used for palliative care patients. The main goal of the team is to educate staff on the palliative performance. Pps has been used in many countries and has been translated into other languages. Development and reliability testing of the victoria bowel.
We previously demonstrated that low preinjury palliative performance scale. The palliative performance scale predicts survival among. 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. Performance status a performance status is a global measure of a patients functional capacity and has been shown to predict survival in patients near the end of life. Correlation between braden scale and palliative performance.
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. Approach to care 2017 3 investigations refer to appendix b. This tool is a nineitem patientrated symptom visual analogue scale developed for use in assessing the symptoms of patients receiving palliative care palliative care outcome scale pos a 10item scale plus an open question that was specifically developed and validated for palliative care and covers physical symptoms, patient and family or. Serial palliative performance scale assessment in a university. Developed by victoria hospice society, british columbia, the pps guides the assessment of a patients functional performance. The latest edition of transitions a muchanticipated update of the original first published in 2003 showcasing new case studies reflective of current palliative care programs this newly revised, awardwinning textbook comprehensively and compassionately covers the key transitions that. Preinjury palliative performance scale predicts functional outcomes. Palliative approach to chronic disease management versus end.
A webbased, case scenarios study with a testretest format was used to determine. Scroll to the bottom for more detailed information. Implementing the integrated palliative care outcomes scale 9 appendix. This study examines the use of the palliative performance scale pps in endoflife prognostication within a regional palliative care program in a canadian province. Palliative performance scale pps and palliative care conferences. Its initial uses in victoria, british columbia included communication, analysis of home nursing care workload, profiling admissions and discharges to the hospice unit and. 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. Can not compute because not all questions was answered.
Palliative care for the patient with incurable cancer or advanced disease part 1. The value of the palliative performance scale youtube. Pps was developed by victoria hospice society, british columbia. Score the residents palliative performance scale pps as indicated by referring to the victoria hospice. A reliability and validity study of the palliative. Presentation slides, references and the palliative performance scale can be downloaded from the pdf files at the bottom of the page. Palliative and end of life care alberta provincial framework.
Intricacies of hospice and palliative care lmudebusk. Journal of palliative care 121, 511 % ambulation activity and evidence of disease selfcare intake conscious level 0 death 10 totally bedbound unable to do any work, extensive disease. A webbased, case scenarios study with a testretest format was used to determine reliability. First open the record you wish to print, go to file and select print. Programs may use ppsv2 with appropriate recognition. Palliative performance scale ppsv2 use of the pps ppsv2 allows common language about performance status that is relevant in hospice and palliative care. Correlation between braden scale and palliative performance scale in advanced illness. Michael downing, md, director of research at victoria hospice, talks with virtual hospice about the advantages of using the palliative performance scale. Evaluate symptom burden use a scale like the esasr refer to appendix c. The ppsv2 allows more common language about performance status than the karnofsky performance scale from which it is based. The palliative performance scale needs to be implemented as a multidisciplinary approach. Palliative performance scale ppsv2 hospice palliative care. Cserv cp the palliative performance scale pps medical care of the dying, 4th ed p.
Prognosis palliative performance scale pps of 50% or less and expected prognosis of palliative performance scale pps of 50% or less and life. However, it does not take the place of a physicians professional judgment. Palliative care for the patient with incurable cancer or. If you want to keep a hard copy of the online records you can do so directly from the record. 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.
Utilization of the scale provides succinct reporting of a patients performance. The palliative performance scale pps has been shown to be both valid and useful for a broad range of palliative care patients. 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. 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 ppsv2 version 2 is a communication tool for quickly describing a persons current functional level. 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. Control of pain, of other symptoms and of psychological, social, and spiritual problems, is paramount. The palliative performance scale pps is a useful tool for measuring the progressive decline. Several different performance status metrics have been developed to quantify performance status, and among them, the karnofsky performance status kps is the most often used. The palliative performance scale pps was first introduced in1996 as a new tool for measurement of performance status in palliative care. Pdf use of palliative performance scale in endoflife. 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. Possible investigations and interventions before ordering investigations, ensure that the results will change management to improve quality of life andor prognostication.
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. Guideline for estimating length of survival in palliative. 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. 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 residents palliative performance scale pps has fallen below 50%. Palliative referral faq lhin home and community care. Revised february 2005 palliative performance scale pps description the palliative performance scale is a reliable and valid tool used for assessing a patients functional status. Edmonton symptom assessment system to assess symptom management. If the patient has multiple chronic illnesses mark yes, if not, mark no.
Palliative care for providers texas health and human. There is a new concern to understand if palliative care pc should be offered in the ed and the palliative performance scale pps, a screening tool used in. To provide an overview of palliative and hospice care including diagnosis and treatment, interdisciplinary care, and enhancing quality of life for patients. The analysis was done on a prospective cohort of 5 patients assessed by a palliative care consult team as part of an initial communityhospitalbased consult. The palliative performance scale pps medical care of the dying, 4th ed p. What does a score of 30% on the palliative performance scale indicate. Palliative performance scale pps and palliative care. As a public service to other hospice organizations, victoria hospice offers this costeffective way to produce customized professional bereavement information handouts featuring your hospice palliative care organizations logo and contact information. 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 care quality of life instrument. This article describes the development and reliability testing of the bps.