Table 2.
Comprehensive CHAPS assessment items and priority problem areas and associated standard care plans
| CHAPS assessment | Priority problems/standard care plans |
|---|---|
| I. Medical/Surgical Issues (The Body) a | |
| Medication Reconciliation | 1 Prevention |
| Motor Complications—Part IV of MDS-UPDRS (2008) [44] | 2 Medication |
| 3 Motor-related | |
| Non-motor Complications - adapted from PD-HRQoL [45], MDS-UPDRS [44], ADL-UPDRS [46] | 4 Gastrointestinal-related |
| 5 Weight/Nutrition/Dental | |
| PD Sleep Scale [18] | 6 Swallowing |
| Daytime Sleepiness—Epworth Sleepiness Scale [19] | 7 Urology-related |
| 8 Pain | |
| 9 Sleep and Fatigue | |
| II. Mental Status/Emotions/Coping (The Mind) | |
| Montreal Cognitive Assessment (MoCA)-BLIND [47] | 10 Hearing |
| Depression Screening—WHO-5 (depression screening in PD) and PHQ-9 [48, 49] | 11 Vision |
| 12 Speech | |
| Health Literacy—2 questions adapted from L Chew [50] | 13 Cognitive Impairment |
| Internet Use—www.pewinternet.org | 14 Psychosis/Hallucinations |
| Apathy—MDS-UPDRS [44] | 15 Depression |
| Preferences—Advance Directives—Adapted from ACCESS [11] | 16 Anxiety |
| 17 Understanding Parkinson’s Disease | |
| Long-term Planning—End of Life Resources—ACCESS [11] | |
| 18 Coping/Self-management | |
| 19 Apathy | |
| Perception of Health—Short Form-36 [51] | 20 Impulse Control Disorder |
| 21 Preferences/Long term care planning | |
| III. Physical Function (Activities) | |
| Functional Limitations—Adapted from PD-HRQoL [45] | 22 Functional Limitations |
| Social Isolation—PDQ-39 (IADL) [52] | 23 Falls |
| Sense of Social Support—ACCESS Caregiver Survey [11] | 24 Physical Activity |
| 25 Driving | |
| Falls—Adapted NMSS [53] and ACCESS Falls [11] | |
| Exercise—MOS Physical Activity Items [54] | |
| Driving Ability—Elderly Drivers Checklist | |
| http://www.aging-parents-and-elder-care.com/Pages/Checklists/Elderly_Drivers.html | |
| IV. Living Environment (Surroundings) | |
| Community Agency Awareness—Adapted from ACCESS [11] | 26 Elder Abuse |
| 27 Access to Care | |
| Access to Care—Adapted from MS Survey [53] | 28 End of Life Resources |
| Elder Abuse Screen—HWALEK-SENGSTOCK Elder | |
| Abuse Screening Test (H-S.EAST) [55] | |
a Section headings from Siebens Domain Management Model © Hilary C Siebens MD 2005, used with permission
MDS-UPDRS Movement Disorders Society—Unified Parkinson’s Disease Rating Scale; ADL-UPDRS Activities of Daily Living-Unified Parkinson’s Disease Rating Scale; WHO World Health Organization; PD Parkinson’s disease; PHQ Patient Health Questionnaire; ACCESS Alzheimer’s Disease Coordinated Care for San Diego Seniors; PD-HRQoL Parkinson’s disease-Health-related quality of life; PDQ Parkinson’s Disease Questionnaire; IADL intermediate or instrumental activities of daily living; NMSS National Multiple Sclerosis Society; MOS Medical Outcomes Study. MS Multiple Sclerosis