Outcome Assessment and Complexity Collaborative (OACC) Measures

Stable

Patient’s problems/symptoms are adequately controlled and further interventions are planned. Family/carer situation is relatively stable. No new problems.

Unstable

Patient is experiencing new complex problems or rapid increase in severity of current symptoms. Family/carer’s circumstances change suddenly, impacting patient care.

Deteriorating

Patient’s overall function is declining and, experiencing new problems, symptoms worsening despite regular review. Family/carer experiencing gradual, worsening distress that impacts on patient care.

Dying

Death is likely within days.

100%

Normal, no complaints or evidence of disease.

90%

Able to carry on normal activity, minor signs or symptoms of disease.

80%

Normal activity with effort, some signs or symptoms of disease.

70%

Cares for self, but unable to carry out normal activity or do active work.

60%

Able to care for most needs but requires occasional assistance.

50%

Considerable assistance and frequent medical or nursing care required.

40%

In bed more than 50% of the time.

30%

Almost completely bedfast.

20%

Totally bedfast and requires extensive nursing care by professionals and/or family.

10%

Comatose or barely audible, unable to care for self, requires hospital care, disease progressing rapidly.

Blue

Years prognosis

Green

Months prognosis

Amber

Weeks prognosis

Red

Days prognosis