Pain Assessment in Advanced Dementia Scale (PAINAD)
Assesses pain in patients with dementia.
Choose the description that best fits the patient's behavior.
When to Use
Occasional labored breathing or short periods of hyperventilation+1
Noisy labored breathing, long periods of hyperventilation or Cheyne-Stokes respirations+2
Occasional moan/groan or low-level speech with negative quality+1
Repeated troubled calling out, loud moaning/groaning/crying+2
Smiling or inexpressive0
Tense, distressed pacing/fidgeting+1
Rigid, fists clenched, knees pulled up, pulling/pushing away/striking out+2
No need to console0
Distracted or reassured by voice/touch+1
Unable to console, distract or reassure+2
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