Review the Staff Assessment for Pain
J0800. Indicators of Pain or Possible Pain in the last 5 days.
Check all that apply.
A. Non-verbal sounds (e.g., crying, whining, gasping, moaning, or groaning).
B. Vocal complaints of pain (e.g., that hurts, ouch, stop).
C. Facial expressions (e.g., grimaces, winces, wrinkled forehead, furrowed brow, clenched teeth or jaw).
D. Protective body movements or postures (e.g., bracing, guarding, rubbing or massaging a body part/area, clutching or holding a body part during movement).
Z. None of these signs observed or documented
Source: Printed verbatim from the RAI User’s Manual.