CURRENT Diagnosis &Treatment: Family Medicine, 5e >Hospice &Palliative Medicine

Jeannette E. South-Paul, Samuel C. Matheny, Evelyn L. Lewis+

Table 67–9.Palliative Performance Scale.

Activity
Level of
% Ambulation Level/Evidence of Self-Care Intake Estimated Median Survival in Days a
Consciousness
Disease

A B C

Normal
100 Full Full Normal Full N/A N/A 108
No disease

Normal
90 Full Full Normal Full
Some disease

Normal with effort

80 Full Full Normal or reduced Full
Some disease

Can’t do normal job

or work
70 Reduced Full Normal or reduced Full 145

Some disease

Can’t do hobbies or
housework Occasional
60 Reduced Normal or reduced Full or confusion 29 4
assistance needed
Significant disease

Can’t do any work

Considerable
50 Mainly sit or lie Normal or reduced Full or confusion 30 11 41
assistance needed
Extensive disease

Can’t do any work

Full or drowsy or
40 Mainly in bed Mainly assistance Normal or reduced 18 8
confusion
Extensive disease

Can’t do any work

Full or drowsy or
30 Bedridden Total care Reduced 8 5
confusion
Extensive disease

Can’t do any work

Full or drowsy or
20 Bedridden Total care Minimal 4 2 6
confusion
Extensive disease

Can’t do any work

10 Bedridden Total care Mouth care only Drowsy or coma 1 1
Extensive disease

0 Death

aKey:

(A) Survival postadmission to an inpatient palliative unit, all diagnoses.

(B) Days until inpatient death following admission to an acute hospice unit, diagnoses not specified.
(C) Survival postadmission to an inpatient palliative unit, cancer patients only.
N/A, not applicable.

Date of download: 12/27/22 from AccessMedicine: accessmedicine.mhmedical.com, Copyright © McGraw Hill. All rights reserved.