57 Palliative Performance Scale (PPS)
| % | Ambulation | Activity/Evidence of Disease | Self-Care | Intake | LOC |
| 100 | Full | Normal/No evidence | Full | Normal | Intact |
| 90 | Full | Normal/Some | Full | Normal | Intact |
| 80 | Full | Normal with effort/Some | Full | Normal or reduced | Intact |
| 70 | Reduced | Unable to do normal/some | Full | Normal or reduced | Intact or confusion |
| 60 | Reduced | Unable to do hobby or some housework/significant | Occasional assist | Normal or reduced | Intact or confusion |
| 50 | Mainly sit/lie | Unable to do any work/extensive | Considerable assist | Normal or reduced | Intact or confusion |
| 40 | Intact or confusion | Unable to do any work/extensive | Mainly assist | Normal or reduced | Intact, drowsy, or confusion |
| 30 | Bed bound | Unable to do any work/extensive | Total care | Reduced | Intact, drowsy, or confusion |
| 20 | Bed bound | Unable to do any work/extensive | Total care | Sips | Intact, drowsy, or confusion |
| 10 | Bed bound | Unable to do any work/extensive | Total care | Mouth care | Drowsy or coma |
Instructions for PPS
Begin at the left column and read downward until the appropriate ambulation level is reached, then read across to the next column and downwards again until the activity/evidence of disease is located. These steps are repeated until all five columns are covered before assigning the PPS. Leftward columns (ambulation on left>activity level/evidence of disease>self-care>intake>LOC on right) are “stronger” determinants and take precedence over others to the right. PPS scores are in 10% increments. Choosing a “half-fit” level (such as 45%) is not correct. The combination of clinical judgment and “leftward” precedence determines the score. PPS may be used for: communication regarding functional status, criterion for workload assessment or other measurements/comparisons, and as a prognostic indicator.
