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Goal 5: Pain

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.

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Goal 5: Pain

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

  2. 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.  

  3. 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.

  4. 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 www.nhqualitycampaign.org

  5. Website: Pain Resources

  6. 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.

  7. WebEx Training Modules How to Use the Tools

  8. 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

  9. 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.

  10. Pain Tool Instructions

  11. Pain Tool

  12. 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

  13. 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

  14. 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)

  15. Pain Tracking ToolDemonstration

  16. Pain Tool Welcome Page

  17. Pain Tool Instruction Page

  18. Pain Tool Q & A Page

  19. Pain Data Entry Page Week 1

  20. Pain Data Summary Page Populated with Data

  21. Pain Graph / Trends Page

  22. Changes Documentaiton Page

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

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