Palliative Care Calculators
13 calculators
- Edmonton Symptom Assessment System — Revised (ESAS-r)10-item patient-rated symptom assessment tool used in palliative care. Rates pain, tiredness, drowsiness, nausea, appetite, shortness of breath, depression, anxiety, wellbeing, and an optional patient-specific symptom — each 0–10. Used to monitor symptom burden and treatment response.
- Neck Disability Index (NDI)10-item self-report questionnaire assessing neck pain-related disability. Each section scored 0–5. Total 0–50. Originally designed for whiplash but used broadly for cervical spine conditions. Percentage disability = score × 2.
- PEG Scale — Pain, Enjoyment of Life and General Activity3-item brief chronic pain measure assessing average pain intensity, pain interference with enjoyment of life, and pain interference with general activity. Each item 0–10. Mean score 0–10. Validated for monitoring chronic pain outcomes in primary care and palliative settings.
- Palliative Prognostic Score (PaP Score)Validated prognostic tool for estimating 30-day survival probability in advanced cancer patients referred to palliative care. Components: dyspnoea, anorexia, KPS, clinical prediction of survival, total WBC, lymphocyte percentage. Score 0–17.5.
- Surprise Question for End-of-Life PrognosisSingle-question prognostic screening tool: 'Would you be surprised if this patient were to die in the next 12 months?' A 'no' answer identifies patients who may benefit from proactive palliative and supportive care planning. Simple, validated in multiple clinical settings.
- Osteoporosis Risk Assessment Instrument (ORAI)3-item clinical screening tool to identify postmenopausal women at risk of low bone mineral density (BMD) who should be referred for DEXA scanning. Considers age, weight, and oestrogen use. Score ≥9 = refer for DEXA.
- Palliative Performance Scale (PPS)Measures functional decline in palliative care patients across 5 domains. PPS <50% associated with median survival <3 months. Guides goals of care and support planning.
- Prognostic Indicator Guidance (PIG) / Gold Standards FrameworkIdentifies patients in the last year of life using Gold Standards Framework prognostic indicators. Triggers palliative care registration and ACP.
- Edmonton Symptom Assessment System (ESAS)Patient-rated symptom burden tool in palliative care using 9 visual analogue scales (0-10 each). Total score (0-90) guides symptom management priorities.
- Opioid Equianalgesic Dose CalculatorGuides safe opioid rotation and dose conversion in palliative care using standard equianalgesic ratios. Does not replace clinical judgement.
- Noisy Breathing / Death Rattle AssessmentAssesses severity of noisy breathing (death rattle) due to retained secretions in dying patients and guides pharmacological management.
- DNACPR Decision FrameworkGuides clinicians through factors informing a DNACPR (Do Not Attempt Cardiopulmonary Resuscitation) decision using GMC/BMA/RCN framework.
- Five Priorities of Care (Dying Assessment)Assesses whether a dying patient has been recognised and whether the Five Priorities of Care (LACEL framework) are being delivered. Based on NHS Leadership Alliance for Care of Dying People.