[xe...] Posted May 6, 2011 Share Posted May 6, 2011 .. 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! Should I give a draft a go when I'm bored as usual? Link to comment Share on other sites More sharing options...
[Pr...] Posted May 6, 2011 Share Posted May 6, 2011 nausea or loose stool during assessment? lolol Link to comment Share on other sites More sharing options...
[xe...] Posted May 7, 2011 Author Share Posted May 7, 2011 Patient unaware of his location. Grand Mal during assessment. Could try a joke version first... but this was meant to be serious. Link to comment Share on other sites More sharing options...
[dr...] Posted May 7, 2011 Share Posted May 7, 2011 nausea or loose stool during assessment? lolol LOL!!! Eating the test form... no further assessment necessary... Draftsman Link to comment Share on other sites More sharing options...
[Pr...] Posted May 7, 2011 Share Posted May 7, 2011 rofl but i was just reading off the assessment you posted. they mentioned loose stool. Link to comment Share on other sites More sharing options...
[sa...] Posted May 19, 2011 Share Posted May 19, 2011 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? Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now