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We need an objective test for benzo w/d


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.. help us monitor our progress when each day feels equally bad.


There's one for opiates. Several even. Like the COWS scale --


Resting Pulse Rate: Record Beats per Minute

Measured after patient is sitting or lying for one minute

0 = pulse rate 80 or below • 2 = pulse rate 101-120

1 = pulse rate 81-100 • 4 = pulse rate greater than 120

Sweating: Over Past 1/2 Hour not Accounted for by Room Temperature or Patient Activity

0 = no report of chills or flushing • 3 = beads of sweat on brow or face

1 = subjective report of chills or flushing • 4 = sweat streaming off face

2 = flushed or observable moistness on face

Restlessness Observation During Assessment

0 = able to sit still • 3 = frequent shifting or extraneous movements of legs/arms

1 = reports difficulty sitting still, but is able to do so • 5 = Unable to sit still for more than a few seconds

Pupil Size

0 = pupils pinned or normal size for room light • 2 = pupils moderately dilated

1 = pupils possibly larger than normal for room light • 5 = pupils so dilated that only the rim of the iris is visible

Bone or Joint Aches if Patient was Having Pain Previously,

only the Additional Component Attributed to Opiate Withdrawal is Scored

0 = not present • 2 = patient reports severe diffuse aching of joints/muscles

1 = mild diffuse discomfort • 4 = patient is rubbing joints or muscles and is unable to sit still because of discomfort

Runny Nose or Tearing Not Accounted for by Cold Symptoms or Allergies

0 = not present • 2 = nose running or tearing

1 = nasal stuffiness or unusually moist eyes • 4 = nose constantly running or tears streaming down cheeks

GI Upset: Over Last 1/2 Hour

0 = no GI symptoms • 3 = vomiting or diarrhea

1 = stomach cramps • 5 = multiple episodes of diarrhea or vomiting

2 = nausea or loose stool

Tremor Observation of Outstretched Hands

0 = no tremor • 2 = slight tremor observable

1 = tremor can be felt, but not observed • 4 = gross tremor or muscle twitching

Yawning Observation During Assessment

0 = no yawning • 2 = yawning three or more times during assessment

1 = yawning once or twice during assessment • 4 = yawning several times/minute

Anxiety or Irritability

0 = none • 2 = patient obviously irritable/anxious

1 = patient reports increasing irritability or anxiousness • 4 = patient so irritable or anxious that participation

in the assessment is difficult

Gooseflesh Skin

0 = skin is smooth • 5 = prominent piloerection

3 = piloerection of skin can be felt or hairs standing up on arms


Well how about that, I'm having significant opiate w/d! :D


Should I give a draft a go when I'm bored as usual?

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Patient unaware of his location. Grand Mal during assessment. Could try a joke version first... but this was meant to be serious.
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nausea or loose stool during assessment? lolol


LOL!!!  Eating the test form... no further assessment necessary...



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  • 2 weeks later...

Please make one!

It would be fun for all of us to add our sx to it.


How does one qualify or quantify "dissolving/being sucked into chair" during assessment?

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