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Cows Assessment Form

Cows Assessment Form

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Instructions and help about cows score interpretation

greetings my name is Brian and I'm a nursing student with San Francisco State University and today we will be performing an assessment for opioid withdrawal using the clinical opioid withdrawal scale the clinical opiate withdrawal scale or cows is an 11 item scale designed to be administered by clinician this tool can be used in both inpatient and outpatient settings to reproducibly rate common signs and symptoms of Oakland withdrawal and monitor these symptoms over time the some score for the complete scale can be used to help clinicians determine stage a severity of opioid withdrawal and assess the level of physical dependence on opioids practitioners sometimes expressed concerns about the objectivity of the items on the cow however the symptoms of opiate withdrawal have been likened to severe influenza infection things like nausea vomiting sweating joint aches agitation tremor and patients should not exceed the lowest score in most categories without exhibiting some observable sign

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