Pain Management
Item Rationale
2 governed answer/subitem rowsJ0100APain: received scheduled pain med regimen
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MDS Item Matrix page 10J0100BPain: received PRN pain medications
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MDS Item Matrix page 10J0100CPain: received non-medication intervention
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MDS Item Matrix page 10J0200Should Pain Assessment Interview Be Conducted?
Item Rationale
3 governed answer/subitem rowsJ0300Pain Presence
Steps for Assessment
3 governed answer/subitem rowsJ0410Pain Frequency
Steps for Assessment
5 governed answer/subitem rowsJ0510Pain Effect on Sleep
Steps for Assessment
5 governed answer/subitem rowsJ0520Pain Interference with Therapy Activities
Steps for Assessment
6 governed answer/subitem rowsJ0530Pain Interference with Day-to-Day Activities
Steps for Assessment
5 governed answer/subitem rowsJ0600Pain Intensity
Steps for Assessment
5 governed answer/subitem rowsJ0600ARes pain interview: intensity rating scale
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MDS Item Matrix page 10J0600BRes pain interview: verbal descriptor scale
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MDS Item Matrix page 10J0700Should the Staff Assessment for Pain be Conducted?
Item Rationale
4 governed answer/subitem rowsJ0800Indicators of Pain
Item Rationale
5 governed answer/subitem rowsJ0800AStaff pain assessment: non-verbal sounds
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MDS Item Matrix page 10J0800BStaff pain assessment: vocal complaints of pain
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MDS Item Matrix page 10J0800CStaff pain assessment: facial expressions
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MDS Item Matrix page 10J0800DStaff pain assessment: protective movements/postures
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MDS Item Matrix page 10J0800ZStaff pain assessment: none of these signs observed
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MDS Item Matrix page 10J0850Frequency of Indicator of Pain or Possible Pain
Item Rationale
Manual page J-23J1100Shortness of Breath (dyspnea)
Item Rationale
Manual page J-25J1100AShort breath/trouble breathing: with exertion
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MDS Item Matrix page 10J1100BShort breath/trouble breathing: sitting at rest
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MDS Item Matrix page 10J1100CShort breath/trouble breathing: lying flat
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MDS Item Matrix page 10J1100ZShort breath/trouble breathing: none of above
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MDS Item Matrix page 10J1300Current Tobacco Use
Item Rationale
2 governed answer/subitem rowsJ1400Prognosis
Item Rationale
2 governed answer/subitem rowsJ1550Problem Conditions
DEFINITIONS
Manual page J-29J1550AProblem conditions: fever
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MDS Item Matrix page 11J1550BProblem conditions: vomiting
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MDS Item Matrix page 11J1550CProblem conditions: dehydrated
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MDS Item Matrix page 11J1550DProblem conditions: internal bleeding
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MDS Item Matrix page 11J1550ZProblem conditions: none of the above
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MDS Item Matrix page 11J1700Fall History on Admission/Entry or Reentry
Item Rationale
3 governed answer/subitem rowsJ1700AFall history: fall during month before admission
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MDS Item Matrix page 11J1700BFall history: fall 2-6 months before admission
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MDS Item Matrix page 11J1700CFall history: fracture from fall 6 month pre admit
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MDS Item Matrix page 11J1800Any Falls Since Admission/Entry or Reentry or Prior
Assessment (OBRA or Scheduled PPS), whichever is more
2 governed answer/subitem rowsJ1900Number of Falls Since Admission/Entry or Reentry or Prior
Assessment (OBRA or Scheduled PPS), whichever is more
Manual page J-41J1900AFalls since admit/prior assessment: no injury
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MDS Item Matrix page 11J1900BFalls since admit/prior assessment: injury (not major)
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MDS Item Matrix page 11J1900CFalls since admit/prior assessment: major injury
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MDS Item Matrix page 11J2000Prior Surgery
Item Rationale
3 governed answer/subitem rowsJ2100Recent Surgery Requiring Active SNF Care
Item Rationale
4 governed answer/subitem rowsJ2300Knee Replacement - partial or total
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MDS Item Matrix page 11J2310Hip Replacement - partial or total
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MDS Item Matrix page 11J2320Ankle Replacement - partial or total
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MDS Item Matrix page 11J2330Shoulder Replacement - partial or total
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MDS Item Matrix page 11J2400Spinal surgery nerves
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MDS Item Matrix page 11J2410Spinal surgery - fusion of spinal bones
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MDS Item Matrix page 11J2420Spinal surgery - lamina, discs, or facets
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MDS Item Matrix page 11J2499Spinal surgery - other
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MDS Item Matrix page 11J2500Ortho surgery - repair fractures of shoulder or arm
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MDS Item Matrix page 11J2510Ortho surgery - repair fractures of pelvis, hip, leg, knee, or ankle
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MDS Item Matrix page 11J2520Ortho surgery - repair but not replace joints
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MDS Item Matrix page 11J2530Ortho surgery - repair other bones
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MDS Item Matrix page 11J2599Ortho surgery - other
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MDS Item Matrix page 11J2600Neuro surgery - brain, surrounding tissue or blood vessels
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MDS Item Matrix page 11J2610Neuro surgery - peripheral and autonomic nervous system - open and percutaneous
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MDS Item Matrix page 11J2620Neuro surgery - insertion or removal of spinal and brain neurostimulators, electrodes, catheters, and CSF drainage devices
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MDS Item Matrix page 11J2699Neuro surgery - Other
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MDS Item Matrix page 11J2700Cardiopulmonary surgery - heart or major blood vessels - open and percutaneous procedures
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MDS Item Matrix page 11J2710Cardiopulmonary surgery - respiratory system, including lungs, bronchi, trachea, larynx, or vocal cords – open and endoscopic
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MDS Item Matrix page 11J2799Cardiopulmonary surgery - Other
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MDS Item Matrix page 11J2800Genitourinary surgery - genital systems
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MDS Item Matrix page 11J2810Genitourinary surgery - the kidneys, ureter, adrenals, and bladder—open, laparoscopic
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MDS Item Matrix page 12J2899Other major genitourinary surgery
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MDS Item Matrix page 12J2900Major surgery - tendons, ligament, or muscles
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MDS Item Matrix page 12J2910contents from the esophagus to the anus, the biliary tree, gall bladder, liver, pancreas, spleen—open or laparoscopic
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MDS Item Matrix page 12J2920Major surgery - endocrine organs (such as thyroid, parathyroid), neck, lymph nodes, and thymus—open
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MDS Item Matrix page 12J2930Major surgery - the breast
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MDS Item Matrix page 12J2940Major surgery - repair of deep ulcers, internal brachytherapy, bone marrow, or stem cell harvest or transplant
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MDS Item Matrix page 12J5000Major surgery - Other surgery not listed above
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MDS Item Matrix page 12