Show simple item record

dc.contributor.authorPang, Dongen_GB
dc.contributor.authorLinklater, Gordon
dc.contributor.authorLawton, Sally
dc.contributor.authorFielding, Shona
dc.contributor.authorMacauley, Lisa
dc.contributor.authorCarroll, David
dc.date.accessioned2012-06-01T13:01:19Z
dc.date.available2012-06-01T13:01:19Z
dc.date.issued2012-03
dc.identifier.citationLinklater, G., Lawton, S., Fielding, S., Macaulay, L., Carroll, D. & Pang, D. (2012) 'Introducing the Palliative Performance Scale to clinicians: The Grampian experience', BMJ Supportive & Palliative Care, 2 (2), pp.121-126.en_GB
dc.identifier.issn2045-435X
dc.identifier.issn2045-4368
dc.identifier.pmid24654052
dc.identifier.doi10.1136/bmjspcare-2011-000133
dc.identifier.urihttp://hdl.handle.net/10547/227172
dc.description.abstractObjectives The Palliative Performance Scale (PPS) was introduced across NHS Grampian. Our aim was to determine how practical and useful the PPS was for clinicians looking after palliative patients in a variety of settings. Methods A prospective audit approach was used in primary, secondary and nursing home care settings who. Demographic and assessment data were gathered for 3 months; feedback was gathered at the end of the data collection phase. Patient follow-up status was determined at 12 months. Results Fifteen clinical sites participated and feedback was obtained from all clinical areas (n=30). Most respondents found the PPS easy to use and that it helped recognise disease progression in cancer patients, but not in patients with dementia/frailty. Assessment data were gathered on 666 patients. Sixty per cent had a malignant diagnosis and 62.5% of the sample died within 12 months. Lower PPS scores at initial assessment indicated poorer prognosis. Median survival figures differed from previously published data. Falling PPS scores increased the risk of death compared with patients whose PPS scores remained static or improved. Conclusion Clinicians found the PPS to be a quick, useful way of assessing and reviewing functional changes in palliative patients. However, it may not identify the subtle changes in individuals with advanced dementia. The survival figures confirm that caution is needed in generalising survival data across different settings and populations. Further work is needed to examine changing functional status in patients with non-malignant diseases or dementia/frailty.en
dc.publisherBMJen_GB
dc.relation.urlhttp://spcare.bmj.com/cgi/doi/10.1136/bmjspcare-2011-000133en_GB
dc.rightsArchived with thanks to BMJ Supportive & Palliative Careen_GB
dc.subjectA990 Medicine and Dentistry not elsewhere classifieden_GB
dc.subjectPalliative Careen_GB
dc.titleIntroducing the Palliative Performance Scale to clinicians: the Grampian experience
dc.typeArticleen
dc.identifier.journalBMJ Supportive & Palliative Careen_GB


This item appears in the following Collection(s)

Show simple item record