Linganisha mbinu

	Kiwango cha Utendaji cha Palliative	Kipimo cha Hadhi ya Mgonjwa
Nyanja	Huduma ya Faraja	Huduma ya Faraja
Familia	Process / pipeline	Process / pipeline
Mwaka wa asili	1996	2008
Mwanzilishi	Anderson, Downing, and colleagues	Chochinov, Hassard, McClement, and colleagues (University of Manitoba)
Aina	Clinician-rated	Self-report
Chanzo asilia	Anderson, F., Downing, G. M., Hill, J., Casorso, L., & Lerch, N. (1996). Palliative Performance Scale: A new tool. J Palliat Care, 12(1), 5–11.	Chochinov, H. M., Hassard, T., McClement, S., Hack, T., Kristjanson, L. J., Harlos, M., Speca, M., & Tool, T. (2008). The Patient Dignity Inventory: a novel way of measuring dignity-related distress in palliative care. Journal of Pain and Symptom Management, 36(6), 559–571.
Majina mbadala	PPS	PDI, Dignity Inventory
Zinazohusiana	5	5
Muhtasari	The Palliative Performance Scale (PPS) is an 11-point clinician-rated functional assessment tool for patients with advanced, life-limiting illness. Developed by Anderson and colleagues in 1996, it measures overall performance status from 100% (normal) to 0% (death), integrating five domains of functional decline. The PPS is widely used in palliative care, hospice, and oncology settings to guide treatment intensity, prognostication, and care planning.	The Patient Dignity Inventory (PDI) is a 25-item self-report measure assessing dignity-related distress in patients with advanced cancer and life-limiting illness. Developed by Chochinov and colleagues at the University of Manitoba in 2008, the PDI operationalizes 'dignity' as a multidimensional construct encompassing illness-related functional decline, psychosocial concerns (fear, hopelessness, suicidality), body image distress, existential meaning, and social connection—dimensions often overlooked by symptom-focused assessment. The PDI enables clinicians to identify and address dignity threats systematically, preventing the existential despair that can accompany terminal illness even when physical symptoms are well-controlled.