Patient Activity Scale (PAS) for RA

Quantifies severity of rheumatoid arthritis (RA) using patient-reported symptoms.

Note: The PAS II is an alternative to the PAS. PAS II uses a slightly different questionnaire with fewer questions than the original PAS, though the overall accuracy of the two is the same.

Health Assessment Questionnaire Disability Index

Dress and groom - is the patient able to:

Self-dress, including shoelaces and buttons

Shampoo hair

Rise - is the patient able to:

Stand up from a straight chair

Get in and out of bed

Eat - is the patient able to:

Cut own meat

Lift a full cup or glass to mouth

Open a new milk carton

Walk - is the patient able to:

Walk outdoors on flat ground

Climb up five steps

Hygiene - is the patient able to:

Wash and dry body

Take a tub bath

Get on and off toilet

Reach - is the patient able to:

Reach and get down a 5-pound object (such as a bag of sugar) from above head

Bend down to pick up clothing from floor

Grip - is the patient able to:

Open car doors

Open previously opened jars

Turn faucets on and off

Other - is the patient able to:

Run errands and shop

Get in and out of car

Do chores such as vacuuming or yard work

Aids or devices used by patient

Devices for dressing

Button hook, zipper pull

Devices for arising

Special or built up chair

Devices for eating

Built up or special utensils

Devices for walking

Cane, walker, crutches, wheelchair

Devices for hygiene activities

Raised toilet seat, bathtub seat, bathtub bar, long-handled appliances in bathroom

Devices for reaching

Long-handled appliances for reach

Devices for gripping

Jar opener (for jars previously opened)

Patient needs help from another person

Dressing and grooming

Arising

Eating

Walking

Hygiene activities

Reaching

Gripping and opening things

Errands and chores

Pain Visual Analog Scale

Ask patient to rate pain on a scale of 0-10, where 10 is the worst pain imaginable

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

Result:

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Advice

Interpret results alongside clinical findings and laboratory data to guide treatment decisions.
If scores remain elevated:
- Reassess the current RA treatment regimen and consider escalation if appropriate.
- Consider evaluating for noninflammatory causes of symptoms, such as fibromyalgia.
Repeat the score regularly to track treatment effectiveness and disease control.

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