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paediatrics oncology palliative-care

Lansky Play-Performance Scale

Measures functional status and activity level in children (ages 1–16). Paediatric equivalent of the Karnofsky Performance Scale. Used in oncology and palliative care.

Score interpretation

Normal/Minimal Restriction

→ Lansky 80–100: Normal activity with at most minor restrictions. Child is functional and active. Suitable for standard outpatient management and routine activities.

Moderate Restriction

→ Lansky 50–70: Significant restriction in active play; ambulatory but reduced activity. May require school adaptations; consider psychosocial support and physiotherapy.

Severe Restriction

→ Lansky 30–40: Mostly bed-bound; limited to passive activities. Increased carer support required; consider palliative care referral and symptom management.

Moribund / Unresponsive

→ Lansky 0–20: Minimal or no response; essentially unresponsive. Goals of care discussion essential; palliative and hospice care referral.

Interpretation bands for the Lansky Scale. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.