J0700: Should the Staff Assessment for Pain be Conducted?

J0700: Should the Staff Assessment for Pain be Conducted?

Item Rationale

Item J0700 closes the pain interview and determines if the resident interview was complete or incomplete and based on this determination, whether a staff assessment should be completed.

Health-related Quality of Life

• Resident interview for pain is preferred because itimproves the detection of pain. However, a small percentage of residents are unable or unwilling to complete the pain interview.

• Persons unable to complete the pain interview may still have pain.

Planning for Care

• Resident self-report is the most reliable means of assessing pain. However, when a resident is unable to provide the information, staff assessment is necessary.

• Even though the resident was unable to complete the interview, important insights may be gained from the responses that were obtained, observing behaviors and observing the resident’s affect during the interview.

Steps for Assessment

1. The Staff Assessment for Pain should only be completed if the Pain Assessment Interview (J0300–J0600) was not completed.

Coding Instructions for J0700. Should the Staff Assessment for Pain be Conducted?

• Code 0, no: if the resident completed the Pain Assessment Interview item (J0410 = 1, 2, 3, or 4). Skip to Shortness of Breath (dyspnea) item (J1100).

• Code 1, yes: if the resident was unable to complete the Pain Assessment Interview (J0410 = 9). Continue to Indicators of Pain or Possible Pain item (J0800).

DEFINITION

COMPLETED PAIN ASSESSMENT INTERVIEW

The Pain Assessment Interview is successfully completed if the resident reported no pain (J0300 = 0. No), or if the resident reported pain (J0300 = 1. Yes) and the follow-up question J0410 is answered.