Basics
This PPS domain is assessed first.
Ambulation
Which trajectory usually has a rapid decline near death?
Cancer
Which PPS domain should be considered first when assigning a score?
Ambulation
True or False: PPS was designed only for patients with Cancer
False
Who often notices PPS decline first?
PSWs and frontline caregivers
PPS is scored in what increments?
10%
Which illnesses often follow the organ failure trajectory?
CHF and COPD
A patient walks independently, performs all self-care, eats normally, but can no longer do their regular job due to illness. What PPS score best fits?
70%
In advanced dementia, which three PPS domains are often most helpful when determining a score?
Ambulation, Activity, and self care
A patient is bedbound and requires total care. Most likely PPS?
30%
Can PPS be scored at 55%
No
What trajectory is most common in dementia?
Frailty trajectory
A patient spends most of the day sitting in a recliner, needs help bathing and dressing, eats smaller meals, and is alert. What PPS score best fits?
50%
A resident with dementia eats well but requires assistance with dressing, bathing, toileting, and spends most of the day sitting. Does good intake automatically mean a high PPS score
no. Intake is only one domain; function is more important
A patient is mainly sitting and requires considerable assistance. PPS?
50%
What does PPS measure
Functional Status
True or False:
PPS often rises and falls in CHF.
True
A patient is bedbound, requires total care, has reduced intake, and is drowsy at times. What PPS score best fits?
30%
What illness trajectory is most commonly associated with dementia and frailty?
The prolonged dwindling (frailty) Trajectory
Why should PPS be trended?
To identify functional decline over time
Name all five domains
Ambulation, Activity, Self-Care, Intake, Consciousness
Which framework describes the three illness trajectories?
Gold Standard Framework
A patient has characteristics that seem to fit both PPS 60% and 50%. According to PPS principles. What should guide your decision
Use the left-most domains (especially ambulation and activity) to deterimine the best fit
A resident with advanced dementia is chair-bound, dependent for all ADL's, Eats most meals with cueing, sleeps much of the day
What PPS range would you expect
40-50%
What is more important than a single PPS score?
The PPS trend