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?_____OASIS Assessment tool - V 18 October 15, 2013 OASIS Pt ID:Page 1 of 3 This information will assist the OASIS Team with your Assessment . Please bring this completed form to your Assessment appointment. Thank your appointment we will have time to assess 1-2 joints.
SECTION 2 Pain Inventory (Continued) Functional Limitations OASIS Assessment Tool - V 18 – October 15, 2013 OASIS Pt ID: Page 2 of 3 3. The following questions are only to be answered if you have osteoarthritis in your hips, feet, ankles,
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