The palliative performance scale helps physicians determine how to best support their patients. The PPS level is determined based on a patient's individual needs. The PPS level is influenced by such indicators as Ambulation, Self-Care, Intake, LOC, Activity, Disease. If you would like to know more, please contact All American Hospice for clarification. All American Hospice provides palliative care for hospice eligible patients, including pain and other physical, psychosocial, and spiritual symptoms.