Domains | Sub-domains | Corresponding CHAPS Standard Problems/Topics |
---|---|---|
I Medical/Surgical Issues | ||
Diseases | ||
2 Medication | ||
Symptoms | 3 Motor-related | |
4 Gastrointestinal-related | ||
5 Weight/Nutrition/Dental | ||
6 Swallowing | ||
7 Urology-related | ||
8 Pain | ||
9 Sleep and Fatigue | ||
Prevention | 1 Prevention | |
Other problem/topic | ||
II Mental Status/Emotions/Coping | ||
Communication | 10 Hearing | |
11 Vision | ||
12 Speech | ||
Cognition | 13 Cognition | |
14 Psychosis/Hallucinations | ||
Emotions | 15 Depressive symptomatology | |
16 Anxiety | ||
Coping/Behaviors | 17 Understanding Parkinson’s disease | |
18 Coping/Self-management | ||
19 Apathy | ||
20 Impulse Control Disorder | ||
Spirituality | Single direct question in Assessment | |
Patient Preferences | 21 Preferences/Long term care planning | |
Other problem/topic | ||
III Physical Function | ||
Basic ADL (BADL) | 22 Functional Limitations | |
23 Falls (in the home) | ||
Intermediate ADL (IADL) | 22 Functional Limitations | |
23 Falls (outside the home) | ||
Advanced ADL (AADL) | 24 Physical Activity | |
25 Driving | ||
Other problem/topic | ||
IV Living Environment | ||
A. Physical Environment | A. Physical Environment | |
B. Social Environment | B. Social Environment | |
26 Elder Abuse | ||
C. Financial/Community Resources | C. Financial/Community Resources | |
27 Access to care | ||
28 End of Life Resources | ||
Other problem/topic |