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Pain Assessment in Advanced Dementia Scale

The Pain Assessment in Advanced Dementia (PAINAD) scale assesses pain in individuals with advanced dementia.

2 minutes to complete

Eligibility

The general eligibility to complete the Pain Assessment in Advanced Dementia Scale is that the individual must be 18 years or older, have a diagnosis of advanced dementia, and be able to understand simple instructions.

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Questions for Pain Assessment in Advanced Dementia Scale

Questions

1.

Breathing

The answer should be a single choice:
  1. Normal
  2. Occasional labored breathing
  3. Noisy labored breathing
2.

Negative vocalization

The answer should be a single choice:
  1. None
  2. Occasional moan or groan
  3. Loud moaning or groaning
3.

Facial expression

The answer should be a single choice:
  1. Smiling or inexpressive
  2. Sad
  3. Facial grimacing
4.

Body language

The answer should be a single choice:
  1. Relaxed
  2. Tense
  3. Rigid
5.

Consolability

The answer should be a single choice:
  1. No need to console
  2. Distracted
  3. Unable to console

Assessments Similar to Pain Assessment in Advanced Dementia Scale

  • Pain in Advanced Dementia Scale (PADS)
  • Neuropsychiatric Inventory Pain Assessment Scale (NPI-PAS)
  • Abbreviated Pain Assessment in Advanced Dementia Scale (APADS)
  • Pain Assessment in Advanced Dementia Scale-Caregiver (PADS-C)
  • Pain Assessment in Dementia with Challenging Behaviors (PAD-CBB)
  • Pain Assessment in Dementia for Nursing Home Residents (PAD-NH)

Here are some FAQs and additional information
on
Pain Assessment in Advanced Dementia Scale

What is the Pain Assessment in Advanced Dementia Scale (PAINAD)?

The Pain Assessment in Advanced Dementia Scale (PAINAD) is a tool used to assess pain in people with advanced dementia who are unable to verbally report their pain. It is a 5-item scale based on observation of facial expressions, body movements, and vocalizations.

How is the PAINAD scored?

The PAINAD is scored on a scale of 0 to 10, with 0 representing no pain and 2 representing severe pain. Each of the 5 items is scored on a scale of 0 to 2, and the scores for each item are then added together to get the total score.

What should be done if the PAINAD score is high?

If the PAINAD score is high, it is important to assess the individual for potential causes of pain and to initiate appropriate treatment. Treatment may include pharmacological and non-pharmacological interventions such as massage, warm compresses, and repositioning.

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