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Nurse Management of CHD  Cardiovascular Limitations and Symptoms Profile (CLASP Score)
Angina
A1 On average, how often have you had angina in the last 2 weeks?
Once or twice a week, but not every day 1
2-3 times a week, but not every day 2
Once a day 3
2-3 times a day 4
4 or more times a day 5
A2 On average, over the last 2 weeks, how intense have your episodes of angina been?
Mostly mild 1
Mostly moderate 2
Mostly severe 3
A3 Has angina woken you up at night in the last 2 weeks?
Not at all 1
Occasionally 2
Often 3
Very often 3
A4 With respect to your angina, in the last 2 weeks have you had:
Mostly good days? 1
Good and bad days? 2
Only bad days? 3
A5 Overall, how bad has your angina been over the last 2 weeks?
Mild 1
Moderate 2
Severe 3
Shortness of Breath
B1 On average, how often have you been short of breath in the last 2 weeks?
Once or twice in the last fortnight 1
2-3 times a week, but not every day 1
Once a day 2
2-3 times a day 3
4 or more times a day 3
B2 Have you found it difficult to lie flat, without becoming short of breath?
Not at all 1
A little 2
A moderate amount 3
A great deal 3
B3 With respect to your shortness of breath in the last 2 weeks, have you had:
Mostly good days? 1
Good and bad days? 2
Only bad days? 3
B4 Overall, how bad has your shortness of breath been over the last 2 weeks?
Mild 1
Moderate 2
Severe 3
B5 How much has your shortness of breath interfered with your life over the last 2 weeks?
Not at all 1
A little 1
A moderate amount 2
A great deal 3
Ankle Swelling
C1 How swollen have your ankles been in the last 2 weeks?
Slightly swollen 1
Moderately swollen 2
Very swollen 3
C2 Overall, how bad has your ankle swelling been over the last 2 weeks?
Mild 1
Moderate 2
Severe 3
C3 How much has your ankle swelling interfered with your life over the last 2 weeks?
A little 2
A moderate amount 3
A great deal 4

Interpretation

Individual questions are scored and summed to give totals for each dimension of the questionnaire: angina, shortness of breath and ankle swelling.

Within each of these totals, threshold scores are provided to classify clients as mild, moderate or severe depending on the level of impairment of level of functioning.

Angina
Total
Mild
Moderate
Severe 		  Questions A1-A5
5-17
5-8
9-12
13-17
Consider referral if symptoms are new or deteriorating, or if score is 10 or more

Shortness of Breath
Total
Mild
Moderate
Severe 		  Questions B1-B5
5-14
5-7
8-10
11-14
Consider referral if symptoms are new or deteriorating, or if score is 9 or more

Ankle Swelling
Total
Mild
Moderate
Severe 		  Questions C1-C3
3-10
3-4
5-7
8-10
Consider referral if symptoms are new or deteriorating, or if score is 8 or more.