1
Rarely or not at all
if the resident responds “rarely” to the question.
DiraChart MDS item reference
J0410Section Jv1.20.1Manual page J-10
Pain Frequency
Steps for Assessment
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Coded response
2
Occasionally
if the resident responds “occasionally” to the question.
3
Frequently
if the resident responds “frequently” to the question.
4
Almost constantly
if the resident responds “almost constantly” to the
question.
9
Unable to answer
if the resident is unable to respond, does not respond, or
gives a nonsensical response.
Item-specific instructions
Coding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
Steps for Assessment
1. Ask the resident: “How much of the time have you experienced pain or hurting over the last
5 days?” Staff may present response options on a written sheet or cue card. This can help the
resident respond to the items.
2. If the resident provides a related response but does not use the provided response scale, help
clarify the best response by echoing (repeating) the resident’s own comment and providing
related response options. This interview approach frequently helps the resident clarify which
response option they prefer.
3. If the resident, despite clarifying statement and repeating response options, continues to have
difficulty selecting between two of the provided responses, then select the more frequent of
the two.
Coding Instructions
Code for pain frequency over the last 5 days.
•
Code 1, Rarely or not at all: if the resident responds “rarely” to the question.
•
Code 2, Occasionally: if the resident responds “occasionally” to the question.
•
Code 3, Frequently: if the resident responds “frequently” to the question.
•
Code 4, Almost constantly: if the resident responds “almost constantly” to the
question.
•
Code 9, Unable to answer: if the resident is unable to respond, does not respond, or
gives a nonsensical response.
J0410: Pain Frequency (cont.)
Coding Tips
•
No predetermined definitions are offered to the resident related to frequency of pain.
— The response should be based on the resident’s interpretation of the frequency
options.
— Facility policy should provide standardized tools to use throughout the facility in
assessing pain to ensure consistency in interpretation and documentation of the
resident’s pain.
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
11 relationships5 groups+
Assessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
Nursing Home Subsets
Swing Bed Subsets
OBRA Stand Alone Assessments
OBRA Admission A=01, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Quarterly A=02, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Annual / Sig Chg A=03, B=99, F=99, G=^, H=0 A= 04, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Discharge A=99, B=99, F=10, 11, G=1, 2, H=0
MDS Item Matrix v1.20.1 v4
Program and Policy Use
D/C Items (Only when A0310F = 10 or 11)
Official CMS source
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Reference details
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