Transcription of OASIS Assessment Tool
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OASIS Assessment Tool
Client GoalsSECTION 1 - All Clients to CompletePlease indicate what your goals are by checking the appropriate boxes (check all that apply).To manage my pain1To learn if I need surgery (joint replacement)2To learn how to manage my daily activities at home/work3To improve my ability to be active (specify activities):To manage:Stress / Anxiety / DepressionMedicationSleep disturbancesWeight problemsHealthy Eating4567 Other (specify):To get my home set up for safety and independencePain InventoryRLOn the diagram, shade in all areas where you feel pain. Which joint bothers you the most or which causes you the most concern?
SECTION 2 Pain Management Medical & Health History OASIS Assessment Tool - V 18 – October 15, 2013 OASIS Pt ID: Page 3 of 3 What have you tried in …
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