Substance Use Disorder Assessment (Formerly Substance Abuse Assessment)
- Changes in Mood
- Poor Hygiene
- Odd Sleep Patterns
- Frequent Injuries
- Relationship or Job Difficulty
- Poor Performance
- Anorexia OR Weight Loss
- Social Isolation
- Financial Problems
Alcohol Use Disorder Assessment (Formerly Alcohol Abuse Assessment)
- CNS Depression
- Wernicke-Korsakoff Syndrome
- GI Distress
- Cardiomyopathy
- Pancreatitis
- Cirrhosis
- Immunosuppression
- Sexual Dysfunction
- Screening (Assessments)
Alcohol Use Disorder Interventions (Formerly Alcohol Abuse Interventions)
- Reduce Environmental Stimuli
- Antianxiety Medications
- Vitamin Supplements
- Seizure Precautions
- Suicide Precautions
- Fever
- Identify Support Systems
- Group Therapy
- Disulfiram
- Naltrexone
Amphetamines Intoxication Assessment
- Euphoria
- Insomnia
- Mydriasis
- Diaphoresis
- Hypertension
- Tachycardia
- Paranoia
- Anxiety
- Anorexia
- Seizures
Benzodiazepine Intoxication Assessment
- Drowsiness
- Confusion
- Respiratory Depression
- Hypotension
- Coma
- Flumazenil (Romazicon)
Cocaine Intoxication Assessment
- Euphoria
- Delusions
- Mydriasis
- Hallucinations
- Agitation
- Hypertension
- Arrhythmias
- Hyperthermia
- Seizures
- Nasal Septum Perforation
LSD Intoxication Assessment
- Psychosis
- Perceptual Distortion
- Visual Hallucinations
- Paranoia
- Depersonalization
- Anxiety
- Tachycardia
- Flashbacks
Marijuana Intoxication Assessment
- Euphoria
- Slowed Reaction Time
- Conjunctival Injection
- Increased Appetite
- Anxiety
- Social Withdrawal
- Paranoid Delusions
Opioid Use Disorder and Withdrawal Assessment (Formerly Opioid Abuse and Withdrawal Assessment)
- Euphoria
- Miosis
- CNS Depression
- Yawning
- Gooseflesh
- Sweating
- Rhinorrhea
- Kicking Movements
- Naloxone
Phencyclidine (PCP) Intoxication Assessment
- Violent Behavior
- Motor Issues
- Nystagmus
- Increased Pain Tolerance
- Tachycardia
- Delirium
- Seizures
- Psychosis
Posttraumatic Stress Disorder (PTSD)
- Re-experience Traumatic Event
- Flashbacks
- Nightmares
- Avoidance
- Self-destructive Behaviors
- Assess Suicide Risk
- Actively Listen to Stories
- Anxiety Medications
Suicide Risk Factors
- Depression
- Previous Attempt
- No Support System
- Access to Firearms or Medications
- Substance Abuse
- Physical or Sexual Abuse
- Chronic Illness or Pain
- Extremes of Age
Suicide Assessment
- SAD PERSONS Scale
- Direct (Overt) Statements
- Indirect (Covert) Statements
- Giving Away Prized Possessions
- Sudden Improvement in Mood
- Putting Personal Affairs in Order
- Detail of Plan
- Availability of Means
- Proposed Method
- Safe Environment
- One-on-One Monitoring
- No Suicide Contract
Depression Assessment
- Anergia
- Self Neglect
- Decreased Libido
- Vegetative Signs
- Sad Affect
- Worthlessness
- Guilt
- Anger and Irritability
- Ineffective Problem Solving
- Slowed Thinking
Delirium
- Rapid Onset
- Reversible
- Hallucinations
- Decline in Cognition
- Short Attention Span
- Rapid Speech
- Change in Activity Level
- Mood Swings
Use of Restraints
- During Emergency
- Protecting From Harm
- For Limited Time
- Last Resort
- May Further Agitation
- Frequent Observation
- Obtain Order Within 1 Hour
- Quick-Release Tie
Hallucinations, Illusions, Delusions
- No External Stimulus
- Auditory
- Visual
- Olfactory
- Gustatory
- Tactile
- Misinterpretation of Stimulus
- Fixed, False Belief
Anorexia Nervosa Assessment
- Adolescent Girls
- Fear of Gaining Weight
- Excessive Dieting
- Distorted Body Image
- Decreased Bone Density
- Stress Fractures
- Lanugo
- Amenorrhea
- Anemia
- BMI < 18.5
Bulimia Nervosa Assessment
- Normal Body Weight
- Binge and Purge
- Electrolyte Disturbances
- Alkalosis
- Hypokalemia
- Parotitis
- Enamel Erosion
- Russell's Sign
- Once Weekly For 3 Months
Tardive Dyskinesia
- Bizarre Facial Movements
- Bizarre Tongue Movement
- Increased Extremity Movements
- Stiff Neck
- Dysphagia
- Stop Medication
- AIMS