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pain assessment in advanced dementia scale

A pain scale for people with advanced dementia that scores five behaviors from 0 to 2 each, for a total of 0 to 10.

PAYN uh-SES-ment in ad-VANST dih-MEN-shuh SKAYL (PAYN-ad) noun

What it means

A tool, usually called the PAINAD scale, for adults who cannot report their own pain. The nurse watches the person for a few minutes and scores breathing, negative vocalization (moaning, groaning), facial expression, body language and consolability. Higher totals mean more pain.

For the nurse

Observe at rest and during movement, and reassess after giving pain relief to see whether the score falls. Know the person's usual behavior, since family can help tell what is new.

At a glance

Also writtenPAINAD, PAINAD scale

Related terms

analgesic

A drug that relieves pain.

Alzheimer disease

A brain disease that slowly destroys memory, thinking and the ability to do everyday tasks.

FLACC scale

A pain scale based on watching a child's Face, Legs, Activity, Cry and Consolability, each scored 0 to 2.

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