{"ref":"OH-HSP-PAIN-01","title":"Pain and Symptom Management and Care of the Actively Dying Patient","category":"Hospice care","summary":"Sets out how the Agency provides effective palliation and management of the terminal illness and related conditions: assessing pain and other symptoms with standard tools, planning and treating them, reassessing after each intervention, responding to symptom crises day and night, using short-term inpatient care when symptoms cannot be managed at home, caring for the actively dying patient and family, and the safeguards for palliative sedation.","inShort":["Ask about pain and other symptoms at every visit and score them with the right scale, such as PAINAD for patients who cannot talk.","Check again after every as-needed dose, at the time the medicine should be working.","If comfort is not reached after two as-needed doses in a row, call the physician for new orders.","Families can call any time. For a symptom crisis, give advice at once and visit if relief does not come quickly.","Aides and volunteers: tell the nurse the same day if a patient seems to be in pain, and at once if the distress is severe."],"primaryCitation":"OAC 3701-19-17(B)","citations":["OAC 3701-19-17(B)","OAC 3701-19-10(B)(4)","OAC 3701-19-22(A)-(B), (D)","OAC 3701-19-21(B)-(C)","ORC 3712.01(A), (E)","ORC 3712.06(B)"],"federalCitations":["42 CFR §418.52(c)(1)","42 CFR §418.54(c), (e)","42 CFR §418.56(c)(1), (3)","42 CFR §418.64(a)","42 CFR §418.108(a)"],"surveyorAsks":["How do you assess pain in a patient who cannot tell you about it?","Show me the pain and symptom interventions on this patient's plan of care and the reassessment after the last as-needed dose."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (OAC 3701-19-17(B))","5. Assessing Pain and Symptoms","6. Planning Care","7. Treating and Reassessing","8. Symptom Crises, Day and Night","9. Short-Term Inpatient Care for Pain and Symptom Control","10. Care of the Actively Dying Patient and Family","11. Palliative Sedation","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"oh-hospice","state":"Ohio","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}}