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Clinical Opiate Withdrawal Scale (COWS) Clinical Opiate Withdrawal Scale (COWS) For each item, circle the number that best describes the patient 's signs or symptom. Rate on just the apparent relationship.

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How to fill out the Cows Scale online

The Clinical Opiate Withdrawal Scale (Cows Scale) is a critical tool for assessing the severity of opiate withdrawal symptoms. This guide provides a user-friendly approach to filling out the Cows Scale online, ensuring accurate evaluation and documentation.

Follow the steps to successfully complete the Cows Scale online

  1. Press the ‘Get Form’ button to access and display the Cows Scale form in your preferred online format.
  2. Begin by entering the patient's name in the designated field at the top of the form.
  3. Record the date and time of the assessment in the provided spaces. Ensure the format matches what is shown in the form.
  4. Indicate the reason for this assessment in the specified area to provide context for the evaluation.
  5. Measure the patient's pulse rate while they are sitting or lying down for one minute, and input the reading in the pulse rate section. Choose the appropriate score based on the reference scale provided.
  6. Assess gastrointestinal upset over the last half hour and circle the corresponding score based on the symptoms observed.
  7. Evaluate sweating, tremors, and other physical symptoms as per the guidelines, circling the score that best describes each observation.
  8. Document the patient's ability to sit still and any accompanying yawning. Assign a score according to the observations made during the assessment.
  9. Measure pupil size in the current light conditions and circle the most accurate description and score in that section.
  10. Assess any anxiety or irritability and record the appropriate score based on the patient's behavior.
  11. Evaluate any bone or joint aches using the criteria provided, scoring only the additional pain related to withdrawal.
  12. Check for gooseflesh skin and runny nose or tearing, circling the relevant score for each symptom.
  13. Calculate the total score by summing the scores of all 11 items, and enter the result in the total score section.
  14. Initial the section indicating the individual who completed the assessment to validate the findings.
  15. Review all entered information for accuracy before saving, downloading, printing, or sharing the completed form as needed.

Take the first step to complete the Cows Scale online today.

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Resting Pulse Rate: (record beats per minute) Sweating: over past ½ hour not accounted for by room. Restlessness Observation during assessment. Pupil size. Bone or Joint aches If patient was having pain. Runny nose or tearing Not accounted for by cold.

COWS may be used in both inpatient and outpatient settings: During Detox: for the general monitoring of opiate withdrawal during opioid detoxification. During Pain Treatment: for patients receiving opiates for the treatment of acute or chronic pain who may show subtle signs of opiate withdrawal.

Score: 5 to 12 = mild; 13 to 24 = moderate; 25 to 36 = moderately severe; more than 36 = severe withdrawal. GI: gastrointestinal. Reproduced from: Wesson DR, Ling W. The Clinical Opiate Withdrawal Scale (COWS).

The Clinical Opiate Withdrawal Scale (COWS) is an 11-item scale designed to be administered by a clinician. This tool can be used in both inpatient and outpatient settings to reproducibly rate common signs and symptoms of opiate withdrawal and monitor these symptoms over time.

The CIWA scale has 11 symptoms that are evaluated and scored. The COWS scale evaluates 12 symptoms with a value placed on heart rate. The values are added up and the total score represents the patient's withdrawal level. is administered if the score falls within a range established by the medical staff.

The Clinical Opiate Withdrawal Scale (COWS) is an 11-item scale designed to be administered by a clinician. This tool can be used in both inpatient and outpatient settings to reproducibly rate common signs and symptoms of opiate withdrawal and monitor these symptoms over time.

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