Opi
Calc
BODE Index (Palliative context)
CAM-S (Confusion Assessment Method - Severity)
CPOT (Critical-Care Pain Observation Tool)
Death Rattle Scoring (Victoria)
Distress Thermometer
Edmonton Symptom Assessment System (ESAS-r)
FAST Scale (Dementia)
IPOS (Integrated Palliative Outcome Scale)
Memorial Symptom Assessment Scale (MSAS)
Menten Score
Morphine Equivalent Daily Dose (MEDD)
Nursing Delirium Screening Scale (Nu-DESC)
Opioid Risk Tool (ORT)
PAINAD Scale
Palliative Performance Scale (PPSv2)
Palliative Prognostic (PaP) Score
Palliative Prognostic Index (PPI)
Respiratory Distress Observation Scale (RDOS)
Richmond Agitation-Sedation Scale (RASS-PAL)
Seattle Heart Failure Model (SHFM)
e-PaP Score
Opioid Risk Tool (ORT)
Opioid Risk Tool: Screen for aberrant use behaviors in chronic opioid therapy.
Family history of substance abuse
Personal history of substance abuse
Age 16–45 years
Preadolescent sexual abuse
Psychological disease history
Calculate Risk Score
Guidelines & Evidence
Clinical Details
Section 1
When to Use
When to Use
Risk stratification for aberrant opioid use behaviors
Initial screening before opioid prescription in chronic pain
Identification of patients requiring closer monitoring
Support for shared decision-making in opioid therapy
Section 2
Formula & Logic
Scoring Components
Family history of drug abuse
Personal history of drug abuse
Age (younger = higher risk)
History of preadolescent sexual abuse
Psychological disease history
Risk Categories
Low risk
Score 0–3
Moderate risk
Score 4–7
High risk
Score 8+
Section 3
Pearls/Pitfalls
Key Advantages
Simple 5-item screening tool
Validated for predicting aberrant use behaviors
Helps standardize risk assessment conversations
Known Limitations
Moderate sensitivity; misses some high-risk patients
Does not capture all relevant risk factors
Performance varies across populations
Last Comprehensive Review: 2026
Related Palliative Care Tools
Palliative Performance Scale
Palliative Prognostic Index
Palliative Prognostic
e-PaP Score
Menten Score
Edmonton Symptom Assessment System
IPOS
Distress Thermometer
Memorial Symptom Assessment Scale
Morphine Equivalent Daily Dose
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