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.
Normal |
0 |
Occasionally labored; short hyperventilation |
1 |
Noisy, labored; long
hyperventilation; Cheyne-Stokes respiration |
2 |
None |
0 |
Occasional moan/groan; low-level speech with negative or
disapproving quality |
1 |
Repeated troubled calling out; loud moaning/groaning; crying |
2 |
Smiling or inexpressive |
0 |
Sad; frightened; frown |
1 |
Facial grimacing |
2 |
Relaxed |
0 |
Tense; distressed pacing; fidgeting |
1 |
Rigid; fists clenched; knees pulled up; pulling/pushing away; striking out |
2 |
No need to console |
0 |
Distracted or
reassured by voice/touch |
1 |
Unable to console,
distract, or reassure |
2 |