The Pain Assessment in Advanced Dementia Scale (PAINAD) is administered by observing the patient for 5 minutes and scoring 5 behaviors using a defined rating system. (Warden et al, 2003)

Calculation of the score is not included in this app.

BREATHING SCORE

Normal 0
Occasionally labored; short hyperventilation 1
Noisy, labored; long hyperventilation; Cheyne-Stokes respiration 2

NEGATIVE VOCALIZATION

None 0
Occasional moan/groan; low-level speech with negative or disapproving quality 1
Repeated troubled calling out; loud moaning/groaning; crying 2

FACIAL EXPRESSION

Smiling or inexpressive 0
Sad; frightened; frown 1
Facial grimacing 2

BODY LANGUAGE

Relaxed 0
Tense; distressed pacing; fidgeting 1
Rigid; fists clenched; knees pulled up; pulling/pushing away; striking out 2

CONSOLABILITY

No need to console 0
Distracted or reassured by voice/touch 1
Unable to console, distract, or reassure 2