Many times as consultants when we go into buildings the staff expresses to us that they are having difficulty treating the patients. Reason being the patient is typically in too much pain. First on the agenda should be to find records and look at the documentation for that pain. Therapy and Nursing can be documenting the type of pain, the location of pain, and the intensity of the pain. A facility should glance at how they are documenting intensity of pain as there are a number of different scales. You can use a numeric scale, verbal scale, or a pictorial scale depending on your population. Once you have got the pain management documented, then you can start looking at the interventions you want to put in place. Tracking that documentation is going to help you determine those interventions.