that apply or write in answers when appropriate.
- What is your primary question for the group? What do you need help with?
- H&P:
- Pain Location(s):
- Pain Description: dull/ache, cramping, hot/burning, shooting, sharp/stabbing, squeezing, throbbing, tingling/pins & needles, other ______
- Timing: morning, daytime, evening, middle of the night, awakens from sleep, other ______
- Exacerbating Factors (what makes the pain worse): bending, driving, cough/sneeze, lifting, looking up/down, rising from seated, standing, stairs, walking, weather, other ______
- Pain Type(s): Neuropathic, Nociceptive, Visceral, Somatic, compressive, ischemic, distention/compression, central, inflammatory, other ______
- Alleviating Factors (what makes the pain better):
- Diagnostics: MRI, CT, Xray, EMG/NCV, Labs, other ______
- Known, stated, or presumed etiology and other associated diagnoses:( RA, OA, fibromyalgia, Sickle Cell, etc)
- Opioid Related Adverse Drug Event Risks (ORADER):
Geriatric (age 65) / YES/NO
SignificantObesity (BMI 35) / YES/NO
Significant PsychiatricDisorder
(e.g. depression, anxiety, panic, bipolar, schizophrenia) / YES/NO
SubstanceAbuse
(e.g. alcohol, illicit drug use) / YES/NO
Central Nervous System/CognitiveDisorder
(e.g. stroke, dysphagia, neuromuscular disease, dementia) / YES/NO
Respiratory Disorder
(e.g. sleep apnea, COPD/emphysema, asthma, cystic fibrosis,
obesity hypoventilation syndrome) / YES/NO
Sedating Medications
(e.g. benzodiazepines, hypnotics, sedating antihistamines, muscle relaxants, etc) / YES/NO
- Treatments tried: acetaminophen, acupuncture, antidepressants, antiepileptic, brace, chiropractic, hot/cold, injection, massage, manipulation, meditation, muscle relaxants, nerve block, NSAIDs, opioids, psychological support, PT/OT, radio-ablation surgery, tens, other: ______
- Specialists: chiropractor, integrative medicine, neurosurgery, neurology, Osteopath, pain specialist, Physical therapist, PM&R, psychiatry/psychology, rheumatology, other: ______
- Opioids:
Codeine
(Fioracet w/codeine,Tylenol #3, Guaiatussin AC, Robitussin AC)
Fentanyl
(Duragesic)
Hydrocodone (Norco/Vicodin/Lortab)
Hydromorphone
(Dilaudid)
Methadone
Morphine
(MS Contin, Roxanol, Kadian)
Oxycodone
(Oxycontin, Percocet)
Tramadol
(Ultram, Ultracet)
Other:
- Additional Current Relevant Medications (Tylenol, NSAIDs, SSRI/SNRI/TCA, antiepileptics, muscle relaxants, etc)
- Significant/relevant exam findings:
Substance Use:
Prior Hx or current? / Last use? / treatment? / Problems? (jail, dui, job loss etc)
Cigarettes/tobacco
Alcohol
Marijuana
Cocaine
Amphetamines
Other
Psychosocial History
Relevant Family History:
Psychiatric History:
Occupation:
Recreational Activities:
Any relevant relationships:
Goals
Patient goals:
Providers goals:
DATA: (if already done)
4 A’s:
ORT:
PHQ2/9:
GAD 2/7:
Maximum prescribed daily morphine equivalent dose:
PDMP date:
Any evidence of aberrant behaviors? :
UDS date:
Any unanticipated results? :
DIRE score: