Per RAI page 3-140-142, The way I interpret it is, did they have pain or s/s of pain during that assessment period? - regardless of any pain management interventions, the fact that they asked for pain med "should" indicate they had pain. It doesn't matter for this purpose that the med worked. However if they are on routine pain meds & never have breakthough pain, then it would be - no pain. Just my 2 cents. Dawn Freeman, LPN MDS Coordinator PG Tampa
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Michelle Witges Sent: Tuesday, March 09, 2004 9:45 AM To: [EMAIL PROTECTED] Subject: Re: Pain on QIs I thought I understood the pain section, but in reading this, I am confused again. If a resident is not on a routine pain med but just PRN, if they ask for the med and it releives the pain, I am not to code pain? From the response below that it is how I am understanding it. I know that if they are on pain management and have breakthrough pain that it is coded. I am so confused. Michelle ----- Original Message ----- From: <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Monday, March 08, 2004 1:31 PM Subject: Re: Pain on QIs > Remember, if you are in a facility where the medical staff opt to use > prn medication instead of the WHO "by the clock, by the mouth, by the pill" method, then you will have a higher rate. > > Also, some facilities are incorrectly interpreting the statement "if > the medication makes the resident pain-free then code "0"" to mean if the prn works code 0. > > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the American > Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
