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Opioid Monitoring A’s
Jan 15, 2020
•
Mark Morgan
categories:
Musculoskeletal & Rheumatology
1. Activity
What progress has been made in the patient’s functional goals?
improved
unchanged
worsened
<-- Sitting tolerance
improved
unchanged
worsened
<-- Standing tolerance
improved
unchanged
worsened
<-- Walking ability
improved
unchanged
worsened
<-- Ability to perform activities of daily living
2. Analgesia
How does the patient rate the following over the last 24 hours? (on a scale from 0 to 10, where 0 = no pain, 10 = worst pain imaginable)
0
1
2
3
4
5
6
7
8
9
10
<-- Average pain?
0
1
2
3
4
5
6
7
8
9
10
<-- Worst pain?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
<-- How much relief have pain medications provided? e.g. 10%, 20%, 30% or more?
3. Adverse effects
no
yes
<-- Has the patient experienced any adverse effects from medication? e.g. constipation, nausea, dizziness, drowsiness
4. Aberrant behaviors
no
yes
<-- Has the patient been taking medication/s as prescribed?
no
yes
<--Has the patient exhibited any signs of problematic behaviors or medication abuse/misuse?
no
yes
<-- Signs of drug and alcohol use
no
yes
<-- Unsanctioned dose escalations
no
yes
<-- Has the patient reported lost prescriptions or requested early repeats?
5. Affect (changes to the way the patient has been feeling)
no
yes
<-- Is pain impacting on the patient’s mood?
no
yes
<-- Is the patient depressed or anxious?
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