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Tip for Hospice Nurses: using Palliative Performance Scale (PPS) to support hospice eligibility and decline. PPS scores are determined by reading horizontally at each level to find a ‘best fit’ for the patient which is then assigned as the PPS% score. Begin at the left column and read downwards until the appropriate ambulation level is reached, then read across to the next column and downwards again until the activity/evidence of disease is located. Repeat until all five columns are covered befo