Opiates

Question 1

COWS (clinical opiate w/d scale)

Answer 1

A tool used to assess opioid w/d

Question 2

S/S of opioid w/d (12)

Answer 2

Yawning
Irritability anxiety
pupillary dilation
piloerection
muscle aches
lacrimation
rhinorrhea
sweating
insomnia
nausea/vomiting/diarrhea

Question 3

Score of what initiates treatment

Answer 3

> 7
13-24 moderate

Question 4

moderate and severe on COWS can start?

Answer 4

buprenorphine or Suboxone

Question 5

SBIRT Screening brief intervention referral to treatment

Answer 5

screens for substance use d/p

Question 6

FRAMES for brief intervention for alcohol

Answer 6

Feedback-risk of the current level of alcohol use
Responsibility- reinforce any decision to change or not lies with the service user
Advice- based on facts about their drinking offer simple and direct advice to the service user impact on them and offer your advice to change
Menu- provide them with a menu of options for behavioral change
Empathetic interviewing- consider their perspective be non judgmental
Self-efficacy- encouraged the person to believing they can change