The “Four A’s” can provide beneficial information to guide an opioid treatment plan:
• Analgesia: What are your best, average and worst daily pain intensities.
• Activities: What are you physically doing? Not doing?
• Adverse effects: What and how severe are your side effects?
• Aberrant behavior: Is there opioid misuse, abuse or addiction?
In contrast to physical dependence, which is an expected consequence of extended opioid use, addiction involves the aberrant use of a substance. Addiction is characterized by the “Four C’s”:
• Continual use despite harm
• Compulsive use
• Control that is impaired
Given the limited availability of health-care providers during this pandemic, communicating with your physician needs to be clear and concise so that they can amend your medical treatment plan, as necessary.
Special thanks to Nicolas Vita, Co-Founder and CEO of Columbia Care, for his vision and for his support.
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