1
Rarely or not at all
if the resident responds that pain has rarely or not at all
made it hard to sleep over the past 5 days.
DiraChart MDS item reference
J0510Section Jv1.20.1Manual page J-12
Pain Effect on Sleep
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 that pain has occasionally made it
hard to sleep over the past 5 days.
3
Frequently
if the resident responds that pain has frequently made it hard to
sleep over the past 5 days.
4
Almost constantly
if the resident responds that pain has almost constantly
made it hard to sleep over the past 5 days.
8
Unable to answer
if the resident is unable to answer the question, 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. Read the question and response choices exactly as they are written.
2. No predetermined definitions are offered to the resident. The resident’s response should be
based on their interpretation of frequency response options.
3. If the resident’s response does not lead to a clear answer, repeat the resident’s response and
then try to narrow the focus of the response. For example, if the resident responded to the
question, “Over the past 5 days, how much of the time has pain made it hard for you to sleep
at night?” by saying, “I always have trouble sleeping,” then the assessor
might reply, “You always have trouble sleeping. Is it your pain that makes it hard for you to
sleep?” The assessor can then narrow down responses with additional follow-up questions
about the frequency.
Coding Instructions
Code for pain effect on sleep over the last 5 days.
•
Code 1, Rarely or not at all: if the resident responds that pain has rarely or not at all
made it hard to sleep over the past 5 days.
•
Code 2, Occasionally: if the resident responds that pain has occasionally made it
hard to sleep over the past 5 days.
•
Code 3, Frequently: if the resident responds that pain has frequently made it hard to
sleep over the past 5 days.
•
Code 4, Almost constantly: if the resident responds that pain has almost constantly
made it hard to sleep over the past 5 days.
•
Code 8, Unable to answer: if the resident is unable to answer the question, does not
respond or gives a nonsensical response.
J0510: Pain Effect on Sleep (cont.)
Coding Tips
•
This item should be coded based on the resident’s interpretation of the provided response
options for frequency. If the resident is unable to decide between two options, then the
assessor should code for the option with the higher frequency.
•
If the resident reports they had pain over the past 5 days and the pain does not interfere
with their sleep (e.g., because the resident is using pain management strategies
successfully), code 1, Rarely or not at all.
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
18 relationships6 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)
Item Subset Required Use ISC Skip Patterns
Official CMS source
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Reference details
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