Pain Assessment in Advanced Dementia Scale (PAINAD)
Assesses pain in patients with dementia.
INSTRUCTIONS
Choose the description that best fits the patient's behavior.
When to Use
Pearls/Pitfalls
Why Use
Normal
0Occasional labored breathing or short periods of hyperventilation
+1Noisy labored breathing, long periods of hyperventilation or Cheyne-Stokes respirations
+2None
0Occasional moan/groan or low-level speech with negative quality
+1Repeated troubled calling out, loud moaning/groaning/crying
+2Smiling or inexpressive
0Sad/frightened/frown
+1Facial grimacing
+2Relaxed
0Tense, distressed pacing/fidgeting
+1Rigid, fists clenched, knees pulled up, pulling/pushing away/striking out
+2No need to console
0Distracted or reassured by voice/touch
+1Unable to console, distract or reassure
+2Result:
Please fill out required fields.
Evidence
Creator Insights
- Randy Goldberg, MD, MPH, FACP
Have feedback about this calculator?