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Alcohol and Drug Abuse Assessment

Alcohol and Drug Abuse Assessment

CAGE-AID Questionnaire
Yes
No
Cut down: Have you ever felt that you should
cut down on your drinking or use of drugs?
1
0
Annoyed: Have you ever felt annoyed by being
criticized about your drinking or use of drugs?
1
0
Guilty: Have you ever felt guilty about
drinking or using drugs?
1
0
Eye-opener: Have you ever needed an eye-opener
(alcohol or drugs) after waking up in order to get
rid of a hangover or calm your nerves?
1
0
Note: A total score of 2 or greater is considered
clinically significant and indicates a high
likelihood for alcoholism.
Total

RAFFT Questionnaire
Yes
No
Relaxation: Do you ever use drugs or drink alcohol
in order to relax or improve your self-esteem?
1
0
Alone: Do you ever use drugs or drink alcohol
while you are alone?
1
0
Friends: Do you have any friends who use drugs or
have a problem with alcohol?
1
0
Family: Does any of your close family use drugs or
have a problem with alcohol?
1
0
Trouble: Have you ever gotten into trouble because
of alcohol or drugs?
1
0
Note: Any positive answer warrants further
investigation.
Total



 Pain Assessment

Definition
of Pain
Whatever the Pt says it is, existing whenever
the Pt says it exists.
Pain is the “fifth vital sign.” Always include it
with every assessment!
Cultural
Factors
Beliefs about pain and how to respond to it
differ between cultures.
Must be considered to effectively manage pain.

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