Prescription Opioid Misuse Index (POMI)

Are you evaluating a patient who has a prescription for an opioid analgesic?

Yes

Does the patient?

• take more drug than prescribed?

Yes

• take the drug more often than prescribed?

Yes

• ask for early refills?

Yes

• go to multiple providers in order to get more drug?

Yes

• use the drug to get high?

Yes

• use the drug to cope with problems or if upset?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

POMI

Should the patient be carefully evaluated for potential misuse of the opioid analgesic?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Features Suggestive of Drug Seeking Behavior in Patient
- Clinical Criteria of Chabal et al for Prescription Opiate Abuse in a Patient with Chronic Pain
Severity, Prognosis, Stage
- Clinical Criteria of Chabal et al for Prescription Opiate Abuse in a Patient with Chronic Pain

Therapy

Options
- Management of Pain Associated with Diabetic Peripheral Neuropathy
- World Health Organization (WHO) Analgesic Ladder
Selection
Dosage Calculations
- Management of Pain Associated with Diabetic Peripheral Neuropathy
Administration
Prevention
- Risk Factors for Fentanyl Toxicity in Patient Treated with Transdermal Patch
- Management of Pain Associated with Diabetic Peripheral Neuropathy

Monitoring

Response To Therapy
- Management of Pain Associated with Diabetic Peripheral Neuropathy
- Indications for Using Parenteral Morphine for Control of Severe Pain
Adverse Effects
- Opioid Induced Hyperalgesia (OIH)

Patient Concerns

Quality Of Life
- Management of Pain Associated with Diabetic Peripheral Neuropathy

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

Purpose: To evaluate a patient with a prescription for an opioid analgesic using the Prescription Opioid Misuse Index (POMI) of Knisely et al.

Evaluation

Results

Please fill out required fields.

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Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10