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APPENDIX 1: TOOLS OPIOID TREATMENT AGREEMENTPatient Name (Print):___Prescriber Name (Print):___Medical Condition requiring Opioid: ___ Planned Opioid Medication:___I (patient) understand the following
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01
Set clear and achievable goals for treatment
02
Educate patients on the importance of adherence to long-term treatment
03
Provide support and resources for patients to help them stay on track
04
Regularly monitor and assess progress towards treatment goals
05
Address any barriers or challenges that may be hindering adherence

Who needs improving adherence to long-term?

01
Patients with chronic conditions such as diabetes, HIV/AIDS, hypertension, etc.
02
Individuals undergoing long-term medication therapy
03
People who have difficulty maintaining consistent health behaviors
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Improving adherence to long-term refers to the process of consistently following a treatment plan or medication regimen over an extended period of time.
Improving adherence to long-term may be required to be reported by healthcare providers, patients, or caregivers depending on the specific situation.
Improving adherence to long-term can be filled out by documenting the frequency and consistency of following a prescribed treatment plan or medication regimen.
The purpose of improving adherence to long-term is to track and monitor progress in following a treatment plan or medication regimen in order to improve health outcomes.
Information reported on improving adherence to long-term may include dates and times of medication doses, any missed doses, reasons for non-adherence, and any relevant side effects.
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