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OUR EMPHATIC RECOMMENDATION: FOUR QUESTIONS TO PAIN SCREENING This finding also simplifies the initial pain assessment process. Based on it, our emphatic recommendation boils down to this: PAIN SCREEENING INSTRUCTIONS A licensed nurse or certified nurse aide should ask all communicative residents directly about pain using these four YES/NO questions: Do you have pain now? Does pain keep you from sleeping at night? Does your pain keep you from participating in activities? Do you have pain every day? Chronic pain is present if the resident answers yes to questions 1-3 or to question 4 alone. These residents need further evaluation and appropriate treatment. Use our pain screening interview form to record results. At a minimum, pain screenings should be conducted: upon admission, at each quarterly review, and whenever pain is suspected. (prev | next)

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