{"ref":"GA-HSP-PAIN-01","title":"Pain and Symptom Management and Care of the Actively Dying Patient","category":"Hospice care","summary":"Sets the Agency’s written protocols for assessing, planning, treating and reassessing pain and other symptoms, responding to a symptom-management crisis within one hour, moving to a higher level of care when symptoms cannot be managed at home, caring for the actively dying patient and family, and the safeguards for palliative sedation.","inShort":["Every patient has the right to effective pain and symptom control. Ask about pain at every visit.","If the patient cannot tell you, use the behavioral pain tool and ask the family.","In a symptom crisis, a nurse must be on site within one hour of the call.","If a symptom is not controlled for more than a day, call the physician for new orders the same day.","Aides and volunteers: report signs of pain or distress to the RN the same day."],"primaryCitation":"42 CFR §418.52(c)(1)","citations":["Ga. Comp. R. & Regs. 111-8-37-.17(2)(j)","Ga. Comp. R. & Regs. 111-8-37-.03(s)","Ga. Comp. R. & Regs. 111-8-37-.09(2)(c)","Ga. Comp. R. & Regs. 111-8-37-.18(1)(b)","Ga. Comp. R. & Regs. 111-8-37-.14(3)","Ga. Comp. R. & Regs. 111-8-37-.15(5)(c)","Ga. Comp. R. & Regs. 111-8-37-.16(2)"],"federalCitations":["42 CFR §418.52(c)(1)","42 CFR §418.54(c)","42 CFR §418.56(c)(1)","42 CFR §418.204(a)"],"surveyorAsks":["Show me how pain was assessed and reassessed for this patient, including a patient who cannot report pain.","Where are your written protocols for symptom control and medication management?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §418.52(c)(1))","5. Assessing Pain and Symptoms","6. Planning Care","7. Treating and Reassessing","8. Symptom Crises and Escalation","9. Care of the Actively Dying Patient","10. Palliative Sedation","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"ga-hospice","state":"Georgia","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}