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National Palliative Care Research Center

Without research, palliative care is an art, not a science.

Functional Status

Functional status is an individual's ability to perform normal daily activities required to meet basic needs, fulfill usual roles, and maintain health and well-being. Decline in functional status is measured by an individual's loss of independence in activities of daily living (ADLs) over a period of time.

The following is a selection of tools that can be used to rate the ability of patients to maintain their independence in the context of their daily life and encompass dimensions of physical, emotional, and cognitive state.

ECOG Performance Status
A tool for doctors and researchers to assess how a patient's disease is progressing, how the disease affects the daily living abilities of the patient, and how to determine appropriate treatment and prognosis.

Edmonton Functional Assessment Tool (EFAT)
A tool to evaluate functional performance of patients with advanced cancer over time and to document the degrees of functional performance of patients throughout the terminal phase.

Karnofsky Performance Scale
Commonly used for assessing terminally ill patients, often used to determine appropriateness of hospice referral.

Katz Index of Independence in Activities of Daily Living
Assesses the ability of patients to conduct activities of daily living.

Palliative Performance Scale version 2 (PPSv2)
Measures the functional status of a patient and assigns a Palliative Performance Value; serves as a communication tool for quickly describing a patient's current functional level.

 

"NIH announces RFA for Implementation Research" | 6th Research Congress of the EAPC, Glasgow, UK, June 10-12, 2010:Abstract submission deadline November 16 | A Global Problem: Cancer Pain from the Laboratory to the Bedside | A look at the new field of palliative care | HealthCare Chaplaincy has released a Call for Proposals (CFP) | Lung Cancer Patients Receiving Palliative Care Lived Two Months Longer New Study Shows Impact of Early Palliative Care Intervention | Lung Cancer Patients Receiving Palliative Care Lived Two Months Longer New Study Shows Impact of Early Palliative Care Intervention | NCP ANNOUNCES THE RELEASE OF THE THIRD EDITION OF THE CLINICAL PRACTICE GUIDELINES FOR QUALITY PALLIATIVE CARE | NIH Seeks High Risk, High Impact Proposals through NIH Director's Pioneer, New Innovator, and Transformative R01 Initiatives | NIH Seeks High Risk, High Impact Proposals through NIH Director's Pioneer, New Innovator, and Transformative R01 Initiatives | NPCRC and American Cancer Society Award $1.5 Million in Palliative Care Research Grants | NPCRC Full Proposal Deadline is January 17, 2012 at 5:00 PM EST | NPCRC receives a $5 million grant from the National Cancer Institute. | NPCRC receives a $5 million grant from the National Cancer Institute. | One Day Extension for Full Proposal Submission | Palliative Care Intervention for Patients with Advanced Cancer Provides Quality of Life and Mood Benefits - JAMA, Aug. 19, 2009 | Privacy Policy | Scientific Advisory Council | SOCIAL SUPPORT IS KEY TO NURSING HOME LENGTH OF STAY BEFORE DEATH | The deadline for the online submission of Letters of Intent to the NPCRC will be extended to November 2, 2011, 5:00PM EST. | The Mapi Research Institute has announced an award for a junior person who works on improving the quality life of the terminally ill.

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