What should you do when a resident reports pain using a numeric scale?

• A. Record only the numeric score.
• B. Ignore it unless pain is severe.
• C. Give pain medication without nurse authorization.
• D. Assess characteristics (location, quality, duration), document the score, and notify the nurse if pain remains unrelieved.

Answer: (D)

Starting with the idea that a numeric pain score is a communication tool, the best approach is to pair that number with a full pain assessment and timely escalation. When a resident reports pain on a numeric scale, you don’t just write down the number. You should ask and note where the pain is, what it feels like (quality), when it started, how long it lasts, and what factors make it better or worse. Document both the numeric score and these details in the resident’s chart so the nurse has a clear, complete picture. If the pain remains unrelieved after any basic comfort measures, you should promptly tell the nurse so they can decide on the next step, which may involve adjusting treatments or medications. Remember, CNAs don’t administer pain medications; reporting promptly to the nurse is essential for safe and effective pain management. This combination of capturing the score, detailing the pain, documenting, and escalating when needed helps ensure the resident’s comfort and safety over time.