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.