Screener and opioid assessment for patients with pain
From IDWiki
Background
- Used to assess the risk of developing an opioid use disorder prior to starting opioid therapy
Criteria
| Item | Never | Seldom | Sometimes | Often | Very often |
|---|---|---|---|---|---|
| How often do you have mood swings? | 0 | 1 | 2 | 3 | 4 |
| How often have you felt a need for higher doses of medication to treat your pain? | 0 | 1 | 2 | 3 | 4 |
| How often have you felt impatient with your doctors? | 0 | 1 | 2 | 3 | 4 |
| How often have you felt that things are just too overwhelming that you can't handle them? | 0 | 1 | 2 | 3 | 4 |
| How often is there tension in the home? | 0 | 1 | 2 | 3 | 4 |
| How often have you counted pain pills to see how many are remaining? | 0 | 1 | 2 | 3 | 4 |
| How often have you been concerned that people will judge you for taking pain medication? | 0 | 1 | 2 | 3 | 4 |
| How often do you feel bored? | 0 | 1 | 2 | 3 | 4 |
| How often have you taken more pain medication than you were supposed to? | 0 | 1 | 2 | 3 | 4 |
| How often have you worried about being left alone? | 0 | 1 | 2 | 3 | 4 |
| How often have you felt a craving for medication? | 0 | 1 | 2 | 3 | 4 |
| How often have others expressed concern over your use of medication? | 0 | 1 | 2 | 3 | 4 |
| How often have any of your close friends had a problem with alcohol or drugs? | 0 | 1 | 2 | 3 | 4 |
| How often have others told you that you had a bad temper? | 0 | 1 | 2 | 3 | 4 |
| How often have you felt consumed by the need to get pain medication? | 0 | 1 | 2 | 3 | 4 |
| How often have you run out of pain medication early? | 0 | 1 | 2 | 3 | 4 |
| How often have others kept you from getting what you deserve? | 0 | 1 | 2 | 3 | 4 |
| How often, in your lifetime, have you had legal problems or been arrested? | 0 | 1 | 2 | 3 | 4 |
| How often have you attended an AA or NA meeting? | 0 | 1 | 2 | 3 | 4 |
| How often have you been in an argument that was so out of control that someone got hurt? | 0 | 1 | 2 | 3 | 4 |
| How often have you been sexually abused? | 0 | 1 | 2 | 3 | 4 |
| How often have others suggested that you have a drug or alcohol problem? | 0 | 1 | 2 | 3 | 4 |
| How often have you had to borrow pain medications from your family or friends? | 0 | 1 | 2 | 3 | 4 |
| How often have you been treated for an alcohol or drug problem? | 0 | 1 | 2 | 3 | 4 |
