Clinical Tools

Victoria Hospice offers the following useful clinical tools to help health care professionals in their assessment or treatment of patients facing advancing illness, death or bereavement. The Palliative Performance Scale and Bowel Performance Scale have been validated, while the others should be considered 'working forms.'

If you wish to use any of these tools, please fill out our: Reprint and Use Permissions Request Form 

If you have any questions please contact Brittany Clark at [email protected] 

Bereavement Risk Assessment Tool [PDF]

The Bereavement Risk Assessment Tool, or BRAT, is a psychosocial assessment tool used by care team members to communicate personal, interpersonal and situational factors that may place a caregiver or family member at greater risk for a significantly negative bereavement experience. This information can be collected prior to the death of the patient and used to inform the care team of any immediate concerns regarding caregivers or family members, and may also facilitate the allocation of scarce bereavement services after the death.

This tool is shown as a sample only and is not be used without complete instructions and permission. For complete instructions and permission please purchase the Bereavement Risk Assessment Tool Manual with electronic files, which are available in our Publications for Professionals online store.

Palliative Performance Scale

The Victoria Hospice Palliative Performance Scale (PPS, version 2) is an 11-point scale designed to measure patients' performance status in 10% decrements from 100% (healthy) to 0% (death) based on five observable parameters: ambulation, ability to do activities, self-care, food/fluid intake, and consciousness level.

English Version

Arabic Version

Hebrew Version

Japanese Version

Nederlandse versie (Dutch)

Thai Version

Turkish Version

Traditional Chinese Version

Versão em Português (Portuguese)

Versión española (Spanish)

Version française (French)


Instruction and Information about the PPSv2


Bowel Performance Scale [PDF]

Psychosocial Assessment Tool [PDF]

Respiratory Congestion Scale [PDF]

10 Steps to Better Prognostication [PDF]

Relationship Management [PDF]

“Forget Me Not”: Palliative Care for Patients with Dementia [PDF]

Quality palliative and end-of-life care for all: Our mission is to enhance the quality of life for those facing life-limiting illness, death and bereavement through patient and family centred care, education, research and advocacy.