Long-Term Care Survey Alert
Get A Jumpstart On Your Pain Assessments
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The draft F309 survey guidance suggests using this approach. T: Timing of pain (e.g., after meals, in the morning, frequency, duration, etc.)
If you're looking for a little memory aid to ensure staff performs a complete pain assessment, consider using a mnemonic. The Centers for Medicare & Medicaid Services' draft F309 survey guidance for pain management suggests doing a thorough pain history, including a detailed description or symptom analysis, such as the one below:
P: Palliative and/or provocative factors
Q: Quality of pain (burning, stabbing, aching, etc.) and impact on quality of life (e.g., functioning, sleep, appetite, and mood)
R: Region of body affected
R: Radiation (where it spreads from its origin)
S: Severity of pain (e.g., 0-10 scale; verbal descriptor scale)
T: Treatments tried
A: Associated symptoms (e.g., shortness of breath, chest pressure, inflammation, warmth, tenderness).
Also: The effectiveness of past efforts to relieve pain; and satisfaction with current pain management.
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