Palliative Performance Scale (PPS) and Hospice

By

The Palliative Performance Scale (PPS)1 can help clinicians to recognize a patient's functional decline and inform decisions about a patient's hospice eligibility.

For oncology patients, a PPS score of 70% or below may indicate hospice eligibility.

For most other disease types, a patient with a PPS score of 50% or below may be hospice-eligible. A general way to determine this is to ask yourself: “Does the patient with advanced illness spend more than 50% of their waking hours resting (sitting and lying)?”

PPS Rating Ambulation Self-Care Intake LOC Activity Evidence of Disease
100 Full Full Normal Full Normal No evidence of disease
90 Full Full Normal Full Normal Some evidence of disease
80 Full Full Normal or reduced Full Normal with effort Some evidence of disease
70 Reduced Full Normal or reduced Full Unable to do normal work Some evidence of disease
60 Reduced Occasional Assistance Normal or reduced Full or confusion Unable to do hobby/housework Significant disease
50 Mainly Sit/Lie Considerable Assistance Normal or reduced Full or confusion Unable to do any work Extensive disease
40 Mainly in bed Complete Assistance Normal or reduced Full, drowsy, or confusion Unable to do any work Extensive disease
30 Bed Confined Total Care Reduced Full, drowsy, or confusion Unable to do any work Extensive disease
20 Bed Confined Total Care Minimal sips Full, drowsy, or confusion Unable to do any work Extensive disease
10 Bed Confined Total Care Monthly care only Drowsy or coma Unable to do any work Extensive disease

VITAS also uses the PPS to assess patients’ functional status and collaboratively establish palliative care plans. We provide palliative solutions for a hospice-eligible patient’s symptoms, including pain and other physical, psychosocial and spiritual symptoms.

All interventions focus on enhancing the patient's overall comfort and quality of life near the end of life.

The VITAS app features an interactive PPS calculator. Download now.

1Source: Anderson F, Downing GM, Hill J, et al: PPS: A new tool. J Palliative Care 12(1):5, 1996.

Is your patient ready for hospice?

Español 繁體中文