Opioid Monitoring A’s

1. Activity
What progress has been made in the patient’s functional goals?
[select name="variable_1" value="improved|unchanged|worsened"] <-- Sitting tolerance
[select name="variable_2" value="improved|unchanged|worsened"] <-- Standing tolerance
[select name="variable_3" value="improved|unchanged|worsened"] <-- Walking ability
[select name="variable_4" value="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)
[select name="variable_5" value="0|1|2|3|4|5|6|7|8|9|10"] <-- Average pain?
[select name="variable_6" value="0|1|2|3|4|5|6|7|8|9|10"] <-- Worst pain?
[select name="variable_7" value="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
[select name="variable_8" value="no|yes"] <-- Has the patient experienced any adverse effects from medication? e.g. constipation, nausea, dizziness, drowsiness
4. Aberrant behaviors
[select name="variable_9" value="no|yes"] <-- Has the patient been taking medication/s as prescribed?
[select name="variable_10" value="no|yes"] <--Has the patient exhibited any signs of problematic behaviors or medication abuse/misuse?
[select name="variable_11" value="no|yes"] <-- Signs of drug and alcohol use
[select name="variable_12" value="no|yes"] <-- Unsanctioned dose escalations
[select name="variable_13" value="no|yes"] <-- Has the patient reported lost prescriptions or requested early repeats?
5. Affect (changes to the way the patient has been feeling)
[select name="variable_14" value="no|yes"] <-- Is pain impacting on the patient’s mood?
[select name="variable_15" value="no|yes"] <-- Is the patient depressed or anxious?