Patient Activity Scale (PAS) for RA

PAS = (A × 3.33 + B + C) / 3, where A = Health Assessment Questionnaire Disability Index (HAQ-DI), calculated by averaging of the selected categorical scores* below. B = Pain Visual Analog Scale (ask patient to rate pain on a scale of 0-10, where 10 is worst pain imaginable). C = Patient Global Assessment of Disease Activity (ask patient to rate how well they are doing in the past week considering all the ways their disease affects them on a scale of 0-10, where 10 is the worst). *Categorical score is the highest selected score within a given category. Example: If patient can self-dress without any difficulty but shampoos hair with much difficulty, the categorical score for dress and groom is 2. Variable Points Is patient able to dress and groom Self-dress, including shoelaces and buttons Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Shampoo hair Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Is patient able to a rise Stand up from a straight chair Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Get in and out of bed Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Is patient able to e at Cut own meat Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Lift a full cup or glass to mouth Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Open a new milk carton Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Is patient able to w alk Walk outdoors on flat ground Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Climb up five steps Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Is patient able to p erform hygiene activities Wash and dry body Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Take a tub bath Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Get on and off toilet Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Is patient able to r each Reach and get down a 5-pound object (such as a bag of sugar) from above head Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Bend down to pick up clothing from floor Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Is patient able to g rip Open car doors Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Open previously opened jars Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Turn faucets on and off Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Is patient able to p erform other activities Run errands and shop Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Get in and out of car Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 Do chores such as vacuuming or yard work Without any difficulty 0 With some difficulty 1 With much difficulty 2 Unable 3 If patient uses any aids or devices and/or requires help from another person for any given category, the score for that category is adjusted upward to 2. If the categorical score is already ≥2, the score remains unchanged.