Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
Item Rationale
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
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Item Rationale
Use this item when the facility is completing content tied to Section J and needs to stay anchored to v1.20.1.
This page is grounded in CMS MDS 3.0 RAI Manual v1.20.1. Review the exact text and locators before treating the item as final reference content.
Unrelieved pain adversely affects function and mobility contributing to dependence, skin breakdown, contractures, and weight loss. Pain significantly adversely affects a person’s quality of life and is tightly linked to depression, diminished self-confidence and self-esteem, as well as to an increase in behavior problems, particularly for cognitively impaired residents.
Assessment of pain frequency provides: — A basis for evaluating treatment need and response to treatment. — Information to aide in identifying optimum timing of treatment.
1. Review medical record and interview staff and direct caregivers to determine the number of
days the resident either complained of pain or showed evidence of pain as described in J0800 in the last 5 days.
Code for pain frequency in the last 5 days. Code 1: if based on staff observation, the resident complained or showed evidence of pain 1 to 2 days. Code 2: if based on staff observation, the resident complained or showed evidence of pain 3 to 4 days. Code 3: if based on staff observation, the resident complained or showed evidence of pain on a daily basis.
1. Resident M is an 80-year-old individual with advanced dementia. During the last 5 days,
Resident M was noted to be grimacing and verbalizing “ouch” over the past 2 days when their right shoulder was moved.
Coding: Item J0850 would be coded 1, indicators of pain observed 1 to 2
days.
Rationale: They have demonstrated vocal complaints of pain (“ouch”), facial
expression of pain (grimacing) on 2 of the last 5 days.
2. Resident C is a 78-year-old individual with a history of CVA with expressive aphasia and
dementia. In the last 5 days, the resident was noted on a daily basis to be rubbing their right knee and grimacing.
Coding: Item J0850 would be coded 3, indicators of pain observed daily.
Rationale: The resident was observed with a facial expression of pain (grimacing) and
protective body movements (rubbing their knee) every day in the last 5 days.