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Nursing intervention for pain tool checklist - Healthcare Quality Improvement Campaign
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  1. Risk of Medication Use for Pain Tx in Elderly
    • Decrease in muscle mass
    • Increased fat mass
    • Decreased renal clearance
    • Reduction of hepatic phase I reactions
    (oxidation, hydrolysis, reduction)
    • Decreased serum albumin
    • Increased sensitivity to centrally acting drugs

  2. Standard Survey Process

    Pre survey sample selection (facility quality
    indicators)
    • Survey sample phase 1 & 2
    – Comprehensive/focused resident review +
    case-mix stratified (statutorily required)
    • Resident review quality of life (5C)
    – Meals, treatments, medication, ac

  3. Resident QOL assessment
    – Interviews
    – Observations of residents
    • Medication pass & Pharmacy services (5E)

  4. CMS Investigative Protocol for
    Pain Management (F309)

    Who states he/she has pain
    • Who displays possible indicators of pain not
    readily attributed to another cause
    • Who has a disease or condition or receives
    treatments that cause or can cause pain
    • Whose assessment indicates that
    he/she experiences pain

  5. Procedures F309

    Care plan review
    • Observations
    • Resident/representative interviews
    • Nurse aide interviews
    • Record review
    – Pain assessments
    – Pertinent nonpharmacological interventions
    Criteria for Compliance with F309 for a
    Resident with Pain or the Potential for Pain
    • The facility is in compliance with F309 Quality
    of Care as it relates to the recognition &
    management of pain, IF each resident & the
    facility has provided the necessary care &
    services to attain or maintain the highest
    practical physical, mental & psychosocial wellbeing, in accordance with the comprehensive
    assessment & plan of care
    • Review: right to refuse treatment (F155)

Non Pharmacological Treatment

Options for those who want an alternative to prescription drugs or are addicted and want to refrain from pharmacological options.

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Nursing intervention for pain tool checklist

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