Loading
Get Dire Score
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Dire Score online
The Dire Score is a structured tool designed to aid in the evaluation of patients for chronic opioid analgesia. This guide will provide you with clear and detailed instructions on effectively filling out the Dire Score online.
Follow the steps to successfully complete the Dire Score form.
- Press the ‘Get Form’ button to access the Dire Score form and open it in your preferred editor.
- Begin with the Diagnosis section. You will need to assess the patient's condition based on the provided explanations. Rate the diagnosis from 1 to 3, where 1 indicates a benign chronic condition, and 3 represents an advanced condition with severe pain.
- Next, move to the Intractability section. Similarly, evaluate the extent of the patient's pain and the ability to manage it, giving a score of 1 to 3.
- Proceed to the Risk section. This involves evaluating psychological factors, chemical health, reliability, and social support. Assign scores based on the descriptions provided, from 1 indicating significant issues to 3 implying reliability and support.
- After filling out the Risk section, continue to the Efficacy Score section. Rate the patient's response to treatments on a scale from 1 to 3 based on their pain management experience.
- When you have completed all sections, calculate the total score by summing the scores from Diagnosis, Intractability, Risk, and Efficacy Score. Refer to the scoring criteria provided to determine if the patient is a suitable candidate for long-term opioid analgesia.
- Finally, you can save your changes, download a copy of the completed form, print it for your records, or share it as needed.
Start completing your Dire Score form online today to ensure a thorough assessment.
A high narcotic score indicates a significant reliance on narcotic medications within a pain management plan. This score can reflect both the necessity of pain control and the potential risks of dependency. Monitoring this score is vital for making informed decisions about patient treatment options.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.