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DIRE Score Patient Selection for Chronic Opioid Analgesia For each factor rate the patient s score from 1-3 based on the explanations in the right-hand column SCORE FACTOR EXPLANATION DIAGNOSIS 1 Benign chronic condition with minimal objective findings or no definite medical diagnosis. 3 Good improvement in pain and function and quality of life with stable doses over time. Total score D I R E Score 7-13 Not a suitable candidate for long-term opioid analgesia Score 14-21 May be a good...
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The DIRE is a clinician-rated instrument designed for use by primary care physicians to predict the efficacy of analgesia and adherence with long-term opioid therapy. The DIRE score can range from 7 to 21, with a score of 13 or below suggesting that a patient is not a suitable candidate for long-term opioid therapy.
This project sought to implement an ORAT, Page 13 IMPLEMENTATION OF AN OPIOID RISK ASSESSMENT TOOL 12 specifically the Diagnosis, Intractability, Risk, and Efficacy (DIRE) Score, in clinical practice.
For this reason, we recommend Five A's of assessment: Analgesia, Activity, Adverse reactions, Aberrant behavior and Affect. Every person for whom opioids are prescribed has the potential to abuse their medication (Webster & Dove, 2007).
Examples of 'dire' in a sentence Yet now the building is in dire need of restoration. THE country is in dire need of new homes. America's roads, airports and rail network are in dire need of upgrades. When you were in dire straits she was superb.
causing or involving great fear or suffering; dreadful; terrible: a dire calamity.
This tool should be administered to patients upon an initial visit prior to beginning opioid therapy for pain management. A score of 3 or lower indicates low risk for future opioid abuse, a score of 4 to 7 indicates moderate risk for opioid abuse, and a score of 8 or higher indicates a high risk for opioid abuse.

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The Dire Score is a measurement that assesses the risk and creditworthiness of an entity, often used in financial contexts to evaluate potential lending or investment decisions.
Entities such as businesses, financial institutions, and individuals seeking loans or credit may be required to file a Dire Score as part of the application or assessment process.
To fill out a Dire Score, one typically needs to provide financial statements, personal or business credit information, and relevant transaction history, adhering to the guidelines set by the reporting authority.
The purpose of the Dire Score is to evaluate financial health and risk, aiding lenders in making informed decisions about extending credit or loans.
Information that must be reported includes credit history, outstanding debts, payment records, and other financial indicators that contribute to overall creditworthiness.
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