NHQI Workshops: Pain Management

Please Note:

Many links below open new windows. Some of the following files are provided in Adobe Acrobat format. If you do not have Adobe Acrobat Reader, you can download it for free at Adobe's web site.

Workshops

Pain Management in the Long Term Care Setting
Presented by Dr. Cari Levy on Thursday, December 14, 2006

WebEx Recording of the Presentation

• Cari Levy, Pain Handouts
• Case Studies
• Pain Care Plan Approaches
• Pain Fax Communication Form
• Pain Guidelines
• Pharmacologic and Complementary Approaches
• Worksheet for Phone Pain Interventions

MDS Coding- Pain
Presented by Betty Keen, MDS & OASIS Clinical Coordinator for Colorado, 03/28/07

• Handouts
• WebEx Presentation

Pathways to Pain Management in Long Term Care: Improving Quality of Life (PowerPoint Presentations compressed into a single ZIP file)

Partnering Quality Improvement Organizations with Nursing Homes 

This section contains background information on the quality initiative, an introduction to the quality improvement organization (QIO), goals of the QIO, and components of "Compare Nursing Homes in Your Area."

Building a Commitment to Pain Management 

This presentation includes interdisciplinary approaches combined with individualized pain control plans, assessment, and strategies for pain management. 

Pain Education for Residents, Families, and Staff 

Education recommendations for addressing barriers, myths, and misconceptions surrounding pain management. This area also addresses teaching methods and strategies, and information on pain rating scales. 

Pathways to Pain Management in Long Term Care 

Aspects of pain management such as prevalence, barriers to recognition, screening and assessment, and clinical practice guidelines are included within this power point presentation. Information on MDS coding and Federal Regulations are also a part of this presentation. 

Pain Management in Long Term Care: Pharmacologic Treatment 

Treatment techniques including pharmacologic and non-pharmacologic interventions for pain management are included in this section. Other components such as communicating with the physician and side effects are also included. 

Fast Fact Information for Pain Management

Fast facts and information regarding pain management including assessment, treatment, types of pain, and communication (PDF files).

• Fast Fact #1: Critical Components for Assessment
• Fast Fact #2: Types of Pain
• Fast Fact #3: World Health Organization Step Ladder
• Fast Fact #4: General Guidelines for Analgesic Medication Orders
• Fast Fact #5: Neuropathic Pain
• Fast Fact #6: Nurse-Physician Communication
• Fast Fact #7: Increasing an Opioid Dose
• Fast Fact #8: Assessing Pain in the Cognitively Impaired
• Fast Fact #9: Combination Analgesics

Additional Pain Management Resources

• Pain Management Pocket Tool
• Pain Management Barriers Questionnaire – North Dakota Health Care Review, Inc.
• Pain Management Resident Questionnaire – North Dakota Health Care Review, Inc.
• Brief Pain Inventory – North Dakota Health Care Review, Inc.
• Verbal Descriptor Pain Scale – North Dakota Health Review, Inc.
• Visual Analog Pain Scale – North Dakota Health Review, Inc.
• Wong-Baker Faces Pain Rating Scale – North Dakota Health Review, Inc.
• Discussing Addiction with Residents and Their Families – North Dakota Health Care Review, Inc.
• Numeric Pain Rating Scale – North Dakota Health Care Review, Inc.
• Nurse Worksheet for Phone Call Interventions – North Dakota Health Care Review, Inc.
• Pain Screening Form – North Dakota Health Care Review, Inc.
• Misconceptions of Opioid Analgesics – North Dakota Health Care Review, Inc.
• Inappropriate Medications for the Elderly - North Dakota Health Care Review, Inc.
• Comprehensive Pain Assessment Form: Cognitively Intact - North Dakota Health Care Review, Inc.
• Comprehensive Pain Assessment Form: Cognitively Impaired - North Dakota Health Care Review, Inc.
• Behavioral Observation Scale – North Dakota Health Care Review, Inc.
• Facility Assessment Checklists – MedQIC
  This is a series of self-assessment checklists for nursing home staff to use to assess processes related to pain management in the facility, in order to identify areas that need improvement. You will find the checklists most useful if you need to look at your current practice more critically.
• Strategies for Change – MedQIC
  This provides information related to redesigning processes and transforming organizational culture in order to improve pain management practices.
• Literature for Pain Management – MedQIC
  Literature for quality improvement and clinical care.
• Pain Process of Care Measures – MedQIC
  Included here are a set of process-of-care measures and supporting data collection tools that QIOs or nursing facilities can use to assess a facility's baseline and follow-up process-of-care indicator rates related to how effectively the facility is managing pain among its residents.
• Clinical Tools for Pain Management – MedQIC
  These are sample tools that your facility may use as is, adapt, or use as an example of how your facility's current forms/tools can be revised. It is recommended that a team of staff who will use the tool be involved in designing how and when the tool will be used.