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3 Common Functional Assessment Tools
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Functional assessment tools help us to track the functional status of patients over time, allowing better care planning and prognostication. In this video, we learn about 3 functional assessment tools commonly used in palliative care.
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Recap 📝
There are 3 common functional assessment tools used in Palliative Care.
1. Eastern Cooperative Oncology Group Performance Status (ECOG)
Grade 0 - Patient is fully active
Grade 1 - The patient is restricted in physically strenuous activity but is still able to walk and carry out light duties.
Grade 2 - Patient is still ambulatory, capable of all self-care but is unable to carry out any work activities. Patients can be up and about more than 50% of waking hours.
Grade 3 - Patient is limited in self-care, no longer able to walk as much, and is mostly confined to bed or chair.
Grade 4 - The patient is completely disabled and is totally confined to a bed or chair
Grade 5 - The patient is dead
2. Palliative Performance Scale (PPS)
It measures the performance status through 5 observer-rated areas which include: ambulation, activity, self-care, food or fluid intake and level of consciousness. It ranges from a performance status of 100% to 0%, which signifies death. PPS is scaled in decrements of 10%.
3. Australian Karnofsky Performance Scale (AKPS)
A scale that scores between 0% to 100%, where 100% means that the patient has normal physical abilities with no evidence of disease and 0% means that the patient is dead.
AKPS is scaled in decrements of 10% and is measured according to a patient's ability to perform common tasks relating to activity, work, and self-care.
Tracking the functional status of palliative care patients using these tools is helpful in determining their prognosis.
Related videos:
References
2. Oken M, Creech R, Tormey D, et al. Toxicity and response criteria of the eastern cooperative oncology group. Am J Clin Oncol. 1982;5:649-655.
3. Olajide O, Hanson L, Usher B, et al. Validation of the palliative performance scale in the acute tertiary care hospital setting. J Palliat Med. 2007;10:111-117.
4. Abernethy A, Shelby-James T, Fazekas B, et al. The Australia-modified karnofsky performance status (AKPS) scale: a revised scale for contemporary palliative care clinical practice. BMC Palliat Care. 2005;4:7.
Content experts: Dr. Ho Peiyan and Henry Kong
Video producer: Perry Lee
Script composer: Lim Yujun
Voiceover: Henry Kong
All rights are reserved to GeriCare and there should not be any reproduction, publication, or adaptation of any part of the video content without prior approval from GeriCare.
#GCPowerFacts #GCTrainingHub #PF #palliativecare #geriatricmedicine #ktph #learning #fun #education #medicaleducation #medical #weekly #nursinghome #elderlycare #hospicecare #healthcare #nursing #endoflife #factstosnack #careclosertoyou
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GeriCare PowerFacts is a series of free bite-sized and engaging educational videos, covering topics across Geriatric Care and Palliative Care.
--
Recap 📝
There are 3 common functional assessment tools used in Palliative Care.
1. Eastern Cooperative Oncology Group Performance Status (ECOG)
Grade 0 - Patient is fully active
Grade 1 - The patient is restricted in physically strenuous activity but is still able to walk and carry out light duties.
Grade 2 - Patient is still ambulatory, capable of all self-care but is unable to carry out any work activities. Patients can be up and about more than 50% of waking hours.
Grade 3 - Patient is limited in self-care, no longer able to walk as much, and is mostly confined to bed or chair.
Grade 4 - The patient is completely disabled and is totally confined to a bed or chair
Grade 5 - The patient is dead
2. Palliative Performance Scale (PPS)
It measures the performance status through 5 observer-rated areas which include: ambulation, activity, self-care, food or fluid intake and level of consciousness. It ranges from a performance status of 100% to 0%, which signifies death. PPS is scaled in decrements of 10%.
3. Australian Karnofsky Performance Scale (AKPS)
A scale that scores between 0% to 100%, where 100% means that the patient has normal physical abilities with no evidence of disease and 0% means that the patient is dead.
AKPS is scaled in decrements of 10% and is measured according to a patient's ability to perform common tasks relating to activity, work, and self-care.
Tracking the functional status of palliative care patients using these tools is helpful in determining their prognosis.
Related videos:
References
2. Oken M, Creech R, Tormey D, et al. Toxicity and response criteria of the eastern cooperative oncology group. Am J Clin Oncol. 1982;5:649-655.
3. Olajide O, Hanson L, Usher B, et al. Validation of the palliative performance scale in the acute tertiary care hospital setting. J Palliat Med. 2007;10:111-117.
4. Abernethy A, Shelby-James T, Fazekas B, et al. The Australia-modified karnofsky performance status (AKPS) scale: a revised scale for contemporary palliative care clinical practice. BMC Palliat Care. 2005;4:7.
Content experts: Dr. Ho Peiyan and Henry Kong
Video producer: Perry Lee
Script composer: Lim Yujun
Voiceover: Henry Kong
All rights are reserved to GeriCare and there should not be any reproduction, publication, or adaptation of any part of the video content without prior approval from GeriCare.
#GCPowerFacts #GCTrainingHub #PF #palliativecare #geriatricmedicine #ktph #learning #fun #education #medicaleducation #medical #weekly #nursinghome #elderlycare #hospicecare #healthcare #nursing #endoflife #factstosnack #careclosertoyou
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GeriCare PowerFacts is a series of free bite-sized and engaging educational videos, covering topics across Geriatric Care and Palliative Care.
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