QuestionSBA
QuestionChoice
Garde 1 would require her to be able to carry out light housework or work of a sedentary nature
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c
Grade 1
QuestionChoice
Grade 4 is completely disabled, unable to self-care, and confined to a chair or bed
32747
e
Grade 4
QuestionChoice
She is ambulatory and capable of all self-care but unable to carry out any work activities. She is up and about more than 50% of the day
32743
a
Grade 2
QuestionChoice
Grade 3 would suggest that she is only capable of limited self-care and is confined to a bed or chair for >50% of the day
32746
d
Grade 3
QuestionChoice
Grade 0 would require her to be fully active and able to carry out all activities of daily living
32744
b
Grade 0
QuestionComment
we don't know about her waking hours why is the answer not grade 1?

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# Summary


WHO Performance status classification categorises patients into different groups dependent on their physical fitness, measured by their ability to perform activities of daily living. It is used to assess their suitability for chemotherapy, and has some prognostic significance. 


Chemotherapy as a treatment is not without its side effects, which can limit quality of life and have negative impacts on other comorbidities. Treatment decisions involve a risk-benefit analysis, and as such a patients' performance status has a significant bearing on what treatment options are most appropriate.


# Classification


The WHO performance status classification categorises patients as:


- 0: able to carry out all normal activity without restriction
- 1: restricted in strenuous activity but ambulatory and able to carry out light work
- 2: ambulatory and capable of all self-care but unable to carry out any work activities; up and about more than 50% of waking hours
- 3: symptomatic and in a chair or in bed for greater than 50% of the day but not bedridden
- 4: completely disabled; cannot carry out any self-care; totally confined to bed or chair.


# References

[NICE Appendix C: WHO performance status classification](https://www.nice.org.uk/guidance/ta121/chapter/appendix-c-who-performance-status-classification#:~:text=The%20WHO%20performance%20status%20classification,to%20carry%20out%20light%20work)

[JAMA Oncology: Performance status in patients with cancer](https://jamanetwork.com/journals/jamaoncology/fullarticle/2432463)
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WHO Performance Status
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Oncology and Palliative Care
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A WHO performance status of Grade 2 indicates that the patient is "up and about more than 50% of waking hours but is not fully active", meaning they are able to perform light activities but are unable to carry out strenuous work or activities.
An 86 year old female is being referred to the bowel cancer multi-disciplinary team (MDT) for consideration of treatment.
She lives alone in a bungalow, is completely independent with self-care and has an active social life visiting her neighbours, but has to have help from her family with shopping, cleaning and cooking.

What is her WHO performance status?
a