KARNOFSKY PERFORMANCE STATUS SCALE DEFINITIONS RATING (%) CRITERIA

Able to carry on normal activity and to work No special care needed 100 90 80 Unable to work Able to live at home and care for most personal needs Varying amount of assistance needed 70 60 50 Unable to care for self Requires equivalent of institutional or hospital care Disease may be progressing rapidly 40 30 20 10 0 Normal; no complaints; no evidence of disease Able to carry on normal activity; minor signs or symptoms of disease Normal activity with effort; some signs or symptoms of disease Cares for self; unable to carry on normal activity or to do active work Requires occasional assistance but is able to care for most of own personal needs Requires considerable assistance and frequent medical care Disabled; requires special care and assistance Severely disabled; hospital admission is indicated although death not imminent Very sick; hospital admission necessary; active supportive treatment necessary Moribund; fatal processes progressing Dead

PALLIATIVE PERFORMANCE SCALE (PPS)

% 100 90 80 70 60 50 40 30 20 10 0 Ambulation Full Full Full Reduced Reduced Mainly Sit/Lie Mainly in Bed Totally Bed Bound As Above As above Death Activity and Evidence of Disease Normal Activity No Evidence of Disease Normal Activity Some Evidence of Disease Normal Activity Some Evidence of Disease Unable Normal Job/Work Some Evidence of Disease Unable Normal Hobby/House Work Significant Disease Unable to Do Any Work Extensive Disease As Above As Above As Above As Above Self-Care Full Full Full Full Occasional Assistance Necessary Considerable Assistance Necessary Mainly Assistance Total Care Total Care Total Care Intake Normal Normal Normal or Reduced Normal or Reduced Normal or Reduced Normal or Reduced Normal or Reduced Reduced Minimal Sips Mouth Care Only Conscious Level Full Full Full Full Full or Confusion Full or Confusion Full or Drowsy or Confusion Full or Drowsy or Confusion Full or Drowsy or Confusion Drowsy or Confusion