All About Nursing · Hospice & Palliative Care · Uncategorized

Predicting Prognosis: Activities of Daily Living (Reading & Sharing)

The most common method of assessing the functional status of patients with diagnoses other than cancer is by the evaluation of the activities of daily living (ADLs).

The original six activities, defined by Katz in the 1960s were bathing, dressing, toileting, transfer, continence, and feeding.

A patient’s ability to perform each of these activities, the evaluation of ADLs on a serial basis has been found to be an important indicator of patient prognosis.

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All About Nursing · Hospice & Palliative Care · Uncategorized

What is PPS: Palliative Performance Scale

The Palliative Performance Scale (PPS) is a modification of the KPS and aims to help overcome the limitation of the KPS. In addition to the activities already measured in the KPS, the PPS assesses the patient characteristics of food/fluid intake and level of consciousness. PPS ratings directly correlated with short-term prognosis for terminally ill patients with or without cancer. It is generally accepted that a KPS or PPS score of 50 or less is predictive that the patient may have a prognosis of 6 months or less.

The PPS assessing ambulation, self care ability, intake, level of consciousness, activity level, and evidence of disease, is described as follows:

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All About Nursing · Hospice & Palliative Care · Uncategorized

What is KPS: Karnofsky Performance Status

The Karnofsky Performance Status (KPS) index designed in the late 1940s as an adjunctive tool to evaluate the activity levels of patients with cancer who were participating in cancer chemotherapy trials.

The KPS assessing ambulation, self care ability, activity level, and evidence of disease, is described as follows: (Measures of performance status for patients with malignant disease)

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