The Journal of family practice
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No there is no well-tested, easily administered screening tool to detect drug-seeking behaviors in primary care patients taking long-term opioids or being considered for such therapy (strength of recommendation [SOR]: studies of intermediate outcomes). Several tools have undergone preliminary testing in pain centers and are being tested in different settings with larger numbers of patients. For primary care providers, a useful screening tool for predicting drug-seeking behaviors is the Screener and Opioid Assessment for Patients with Pain (SOAPP-R; SOR: studies of intermediate outcomes). Drug-seeking behavior in patients on long-term opioid therapy can be monitored with the Current Opioid Misuse Measure (COMM; SOR: studies of intermediate outcomes).
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*Assess asthma severity before initiating treatment; monitor asthma control to guide adjustments in therapy using measures of impairment and risk (National Heart, Lung, and Blood Institute [NHLBI] and National Asthma Education and Prevention Program [NAEPP] third expert panel report [EPR-3]). *Base treatment decisions on recommendations specific to each age group (0-4 years, 5-11 years, and >or=12 years). *Use spirometry in patients >or=5 years of age to diagnose asthma, classify severity, and assess control. *Provide each patient with a written asthma action plan with instructions for daily disease management, as well as identification of, and response to, worsening symptoms.