Palliative Performance Scale

% Ambulation Activity & Evidence of Disease Self-Care 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 w/ effort

Some Evidence of Disease

Full Normal or

Reduced

Full
70 Reduced Unable Normal Job/Work

Some Evidence of Disease

Full Normal or

Reduced

Full
60 Reduced Unable Hobby/

House Work

Significant Disease

Occasional Assistance

Necessary

Normal or

Reduced

Full or Confusion
50 Mainly Sit/Lie Unable to do any work

Extensive Disease

Considerable Assistance Needed Normal or Reduced Full or Confusion
40 Mainly in Bed Unable to do any work

Extensive Disease

Mainly Assistance Normal or Reduced Full or Drowsy or Confusion
30 Totally Bed Bound Unable to do any work

Extensive Disease

Total Care Reduced Full or Drowsy or Confusion
20 Totally Bed Bound Unable to do any work

Extensive Disease

Total Care Minimal Sips Full or Drowsy or Confusion
10 Totally Bed Bound Unable to do any work

Extensive Disease

Total Care Mouth Care Only Drowsy or Coma
0 Death

See another guide:
Alzheimer’s/Dementia
Cancer
CVA (Stroke)/Coma
Heart Disease/CHF (Congestive Heart Failure)
HIV/AIDS
Huntington’s Disease
Liver Disease
Neurological Diseases (see list below)
      ALS (Amyotrophic Lateral Sclerosis)
      Parkinson’s
      Muscular Dystrophy
      Myasthenia Gravis
      MS (Multiple Sclerosis)
Pulmonary Disease/COPD (Chronic Obstructive Pulmonary Disease)
Renal (Kidney) Failure

Frequent Co-Morbidity documentation requirements
Cachexia/Protein Calorie Malnutrition (Weight Loss)

Referenced Tables 
New York Heart Association (NYHA) Functional Classes
Functional Assessment Staging (FAST) Scale

Comments are closed.