Advancing Excellence in America’s Nursing Homes Making Nursing Homes Better Places to Live, Work and Visit!

Goal 5: Pain There are many ways to measure Pain Management in nursing homes. Different organizations use different tools, so the nice thing about the campaign and using this tool is that it provides a national standardized way to track nursing home Pain Management.  

Pain Tool Use Use of this tool is not required. However we encourage nursing homes to use this tool to track your Pain Management because it automatically calculates, trends and graphs Pain Management on a quarterly basis with a standardized methodology.

Pain Campaign Resources Implementation Guide Pain Fact Sheets 1 for consumers 1 for nursing home staff Tracking Tool & Instructional Webex Video’s, Guidance and much more Now we’ll switch gears and go to the Advancing Excellence Resources. They are free, practical and evidenced-based. The Campaign has resources for nurses, frontline staff and for consumers. And , they are all complimentary – one will not contradict what the other says. Let’s take a look. From the website’s front page, click on resources and you will have access to all …. www.nhqualitycampaign.org

Website: Pain Resources

Pain – Goal Definition Goal 5 Pain: Goal: Nursing home residents will receive appropriate care to prevent and minimize episodes of moderate or severe pain. Objectives for long stay and short stay are slightly different. Section A relating to Chronic Care (or Long Term) Resident’s Pain and Section B relating to the Post Acute Care (or Short Stay) Resident’s Pain The tool allows you to record the presence of pain symptoms for both short-term stay and long-term stay residents.

WebEx Training Modules How to Use the Tools

Using The Pain Tool Go to the Goal and download the tool into your computer. You will need Excel Save the tool to your computer BEFORE you enter any data – we suggest you put a date on the tool as you save it Size the tool to fit your computer Gathered information before filling out the tool. Data is entered in the blue columns and you will use drop down boxes

Special Tool Features Allows nursing home to monitor Pain for both long stay and short stay residents This is a quarterly tool tied to resident Care Planning dates The data is entered each week for 12 weeks. At the end of 12 weeks you will start with a fresh tool. You may start and end your 12 weeks any time suitable for your nursing home. You may choose to start at the beginning of a quarter.

Pain Tool Instructions Instructions: Generate a list of all residents who will be reviewed in the care planning meeting each week. Complete this form as you proceed through the assessment and care planning process. Enter the resident's name and check the boxes that apply for that resident. If a resident does not have pain, you do not need to answer the remaining questions for pain.

Pain Tool The Pain Tool Does NOT Calculate the nursing home’s pain rate! It looks at individual residents severity of pain and treatment once in a 12 week period.

Tool Tracking and Trending The tool creates four different tracking and trending graphs on the second to last tab of the spreadsheet. These graphs can be used for your quality improvement committee or to print off and to post in your home to inform others of your quality improvement efforts. The graphs provided by the tool include: Pain management for long stay residents Pain management short stay residents The frequency of response type on verbal descriptor scale The average worst pain

Where to Find the Information Information and data used to put in the tools will be gathered by you before filling out the tool. This information can be found primarily in the resident MDS 3.0 Section J. Other sources of pain data include: Computer vendor MDS 3 reports. In the Medication and Treatment Administration Records (MAR/TAR) Pain Management Tracking reduction committee notes Physical, occupational and other therapy records, activities notes Individual resident medical records

No Campaign Data Entry There is no Campaign Website Data entry required for the Pain goal or any of the clinical goals. This tools is provided for your internal tracking, monitoring and quality improvement purposes Website data entry is only required for the “organizational” goals (goal #’s1,2,6,7 & 8)

Pain Tracking Tool Demonstration

Pain Tool Welcome Page

Pain Tool Instruction Page

Pain Tool Q & A Page

Pain Data Entry Page Week 1

Pain Data Summary Page Populated with Data

Pain Graph / Trends Page

Changes Documentaiton Page

Thank You! Tammy Rolfe (207)242-5386 trolfe@leadingage.org