Pain Assessment in Advanced Dementia explained

Pain Assessment in Advanced Dementia (PAINAD)
Purpose:assess pain experienced by those with dementia

Pain Assessment in Advanced Dementia (PAINAD) is a pain scale developed by Victoria Warden, Ann C. Hurley, and Ladislav Volicer to provide a universal method of analysing the pain experienced by people in late stage dementia.[1] [2]

Behavior012Score
Breathing independent of vocalizationNormalOccasional laboured breathing, short period of hyperventilationNoisy laboured breathing, long period of hyperventilation, Cheyne-Stokes respirations
Negative vocalizationNoneOccasional moans or groans, low-level speech with a negative or disapproving qualityRepeated troubled calling out, loud moaning or groaning, crying
Facial expressionSmiling or inexpressiveSad, frightened, frownFacial grimacing
Body languageRelaxedTense, distresses pacing, fidgetingRigid, fists clenched, knees pulled up, pulling or pushing away, striking out
ConsolabilityNo need to consoleDistracted or reassured by voice or touchUnable to console, distract, or reassure

"The total score ranges from 0-10 points. A possible interpretation of the scores is: 1-3=mild pain; 4-6=moderate pain; 7-10=severe pain."

See also

Notes and References

  1. https://scholar.google.com/scholar_url?hl=en&q=https://www.researchgate.net/publication/10706794_Development_and_psychometric_evaluation_of_the_Pain_Assessment_in_Advanced_Dementia_%28PAINAD%29_scale/file/9c9605208fc8699387.pdf&sa=X&scisig=AAGBfm3PUb7QNHJHUFYopScOKRlywsUeeQ&oi=scholarr Development and Psychometric Evaluation of the Pain Assessment in Advanced Dementia (PAINAD) Scale
  2. Web site: 1 Pain Assessment in Advanced Dementia Scale (PAINAD) . 2014-05-16 . 2015-03-19 . https://web.archive.org/web/20150319033905/http://www.healthcare.uiowa.edu/igec/tools/pain/PAINAD.pdf . dead .