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Table 2 Comprehensive CHAPS assessment items and priority problem areas and associated standard care plans

From: Study protocol of “CHAPS”: a randomized controlled trial protocol of Care Coordination for Health Promotion and Activities in Parkinson’s Disease to improve the quality of care for individuals with Parkinson’s disease

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]

  1. a Section headings from Siebens Domain Management Model © Hilary C Siebens MD 2005, used with permission
  2. 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