Pain Assessment Collection Tool - Resident
Updated 2024
This Pain Assessment Collection Tool corresponds with the Resident Interview/Staff Assessment found in the MDS 3.0 v1.19.1 Item Sets. This updated version of the MDS 3.0 will be implemented on October 1, 2024. The resident is interviewed to assess PAIN:
• | Presence | • | Frequency |
• | Effect on Sleep | • | Interference with Therapy Activities |
• | Intensity | • | Interference with Day-to-Day Activities |
This tool also facilitates staff assessment for indicators of pain when the resident is unable to be interviewed or unable to complete the pain interview.
Size: 8 ½" x 11"
Print: Black Ink; 2-sides
Punching: 5-holes top and side
Packaging: 25 per pad