Tools/Forms

Screener and Opioid Assessment for Patients with Pain (SOAPP)
http://www.inflexxion.com/SOAPP/

Clinical reference tool for risk assessment relating to opioid therapy
Source: The Journal of Family Practice
Includes:
 • Brief overview of Urine Drug Testing
 • Opioid risk tool (ORT)
 • Diagnosis, Intractability, Risk, Efficacy (DIRE) risk assessment tool
http://www.jfponline.com/Pages.asp?AID=8949

Partners Against Pain: Print Outs
The CAGE and CAGE-AID Questionnaires
http://www.partnersagainstpain.com/printouts/A7012DA4.pdf

Patient Health Questionnaire (PHQ-9)
http://www.depression-primarycare.org/clinicians/toolkits/materials/forms/phq9/

The PHQ-9: validity of a brief depression severity measure.
http://www.ncbi.nlm.nih.gov/pubmed/11556941

PRIME-MD PHQ (2 Question Screen)
http://health.utah.gov/mihp/pdf/PHQ-9%20two%20question.pdf

Addiction Behaviors Checklist
http://www.emergingsolutionsinpain.com/images/pdf/reslib/Addiction_Behaviors_Checklist.pdf

Current Opioid Misuse Measure® (COMM)
http://www.emergingsolutionsinpain.com/images/pdf/reslib/COMM_Tool.pdf

Drug Metabolism
http://www.painmed.org/files/drug-metabolism-chart.pdf

American Chronic Pain Association Pain Log
http://theacpa.org/fibroLog/default.aspx

American Chronic Pain Association: Quality of Life Scale
http://www.theacpa.org/uploads/Life_Scale_3.pdf

The First Pain Advocacy Step is to Take One
An interpretation for primary care
by Sunil J. Panchal, M.D.
http://www.emergingsolutionsinpain.com/index.php?option=com_content&view=article&id=601&Itemid=266

The Efficacy of Prescription Monitoring Programs: Bringing Public Health Tools to the Physician’s Office
http://www.emergingsolutionsinpain.com/index.php?option=com_content&view=article&id=600&Itemid=266

Definitions Related to the Use of Opioids for the Treatment of Pain: Consensus Statement
http://www.asam.org/DefinitionsRelatedtoUseofOpioidsforTreatmentofPain.html

Physician Tools for Treating Patients with Pain by Pain Knowledge
http://www.painknowledge.org/physiciantools/

PainEDU
PainEDU is an educational website for clinicians, teaching about pain assessment and management.
http://www.painedu.org/

Pain Action
The goal of painACTION is to help people improve their self-management of their pain condition. Written with the help of health educators, pain experts, and people dealing with pain, this site is a resource to come back to repeatedly, to track the occurrence of pain as well as to learn more.
http://www.painaction.com/HealthcareProfessionals.aspx

PainSAFE: American Pain Foundation. Eight prescribing guidelines.
Available at: http://www.painfoundation.org/painsafe/healthcare-professionals/pharmacotherapy/opioids/faqs-about-opioids.html

PainSAFE: American Pain Foundation. Six opioid safety (SOS) steps.
Available at: http://www.painfoundation.org/painsafe/safety-tools-resources/six-opioid-safety-steps.pdf

PAMMVI. FDA approved nicotine cotinine urine rapid test kits.
Available at: http://www.cotinine-urine-nicotine-test.com/

Change Pain® Scale
http://www.change-pain.com/grt-change-pain-portal/GRT-CHANGE-PAIN-PORTAL_Home/How_to_Change/Communication/Tools/154000017.jsp