S: Pt presents for bup induction. Pt feels to be in moderate w/d. Pt c/o cramps, sweats, chills, goose bumps, anxiety, and joint pains. Has not used anything since _
O:
Gen: Anxious and fidgety.
See VSS above
See scanned COWS sheet for details
A/P:
Induction:
- Dosing today (day 1): Please see scanned dosing record. End dose for today is _ mg to be used _. Pt may use 4 mg at night if they feel w/d sx.
Pt to f/u day 3 AM at _ to determine maintenance dose.
20 minutes spent in interviewing and counselling and discussing the plan and coordinating care.
Pt informed that they NEED to be involved in some sort of substance abuse counselling program. Pt states that they will actively be involved.
Gold Coast NA: 888-817-7425 https://www.gcana.org
Ventura County Behavioral Health Alcohol and Drug Program (ADP): 805-981-9200
Here to Help Program: https://www.suboxone.com/treatment-plan/patient-support