No
if the resident is rarely/never understood or an interpreter is required but
not available. Skip to Indicators of Pain or Possible Pain item (J0800).
DiraChart MDS item reference
Item Rationale
Use the item-specific response choices below when structured codes apply.
if the resident is rarely/never understood or an interpreter is required but
not available. Skip to Indicators of Pain or Possible Pain item (J0800).
if the resident is at least sometimes understood and an interpreter is
present or not required. Continue to Pain Presence.
9. If the resident is unsure about whether pain or the effects or
interference of pain occurred in the last 5 days, prompt the
resident to think about the most recent episode of pain and
try to determine whether it occurred in the last 5 days.
yes_no
yes_no
Review what the item asks, how to choose the response, and what should be verified before submission.
1. Interact with the resident using their preferred language. Be sure they can hear you and/or
have access to their preferred method for communication. If the resident appears unable to
communicate, offer alternatives such as writing, pointing, sign language, or cue cards.
2. Determine whether or not the resident is rarely/never understood verbally, in writing, or using
another method. If the resident is rarely/never understood, skip to item J0800, Indicators of
Pain or Possible Pain.
3. Review Language item (A1110) to determine whether or not the resident needs or wants an
interpreter.
•
If the resident needs or wants an interpreter, complete the interview with an interpreter.
Attempt to complete the interview with all residents.
•
Code 0, no: if the resident is rarely/never understood or an interpreter is required but
not available. Skip to Indicators of Pain or Possible Pain item (J0800).
•
Code 1, yes: if the resident is at least sometimes understood and an interpreter is
present or not required. Continue to Pain Presence.
and Special Populations
•
Attempt to conduct the interview with ALL residents. This interview is conducted during
the look-back period of the Assessment Reference Date (ARD) and is not contingent
upon item B0700, Makes Self Understood.
•
If the resident interview should have been conducted, but was not done within the look-
back period of the ARD (except when an interpreter is needed/requested and
unavailable), item J0200 must be coded 1, Yes, and the standard “no information” code
(a dash “—”) entered in the Pain Assessment Interview items (J0300–J0600). Item J0700,
Should the Staff Assessment for Pain be Conducted?, is coded 0, No.
•
Do not complete the Staff Assessment for Pain items (J0800–J0850) if the Pain
Assessment Interview should have been conducted but was not done.
•
If it is not possible for an interpreter to be present during the look-back period, code
J0200 = 0 to indicate the Pain Assessment Interview was not attempted, skip the Pain
Assessment Interview items (J0300–J0600), and complete the Staff Assessment of Pain
item (J0800).
J0300–J0600: Pain Assessment Interview
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
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