Here is the scale we use for patients with dementia or are nonverbal. It's the PAINAD Scale.
http://www.hartfordign.org/publicati...essingPain.pdf
Assessing Pain in Older Adults with Dementia
By: Ann L. Horgas, RN, PhD, FGSA, FAAN, University of Florida College of Nursing
There is no evidence that older adults with dementia physiologically experience less pain than do other older adults.
Rather than being less sensitive to pain, cognitively-impaired elders may fail to
interpret sensations as painful, are often less able to recall their pain, and may not be able to verbally communicate it to care
providers. As such, cognitively impaired older adults are often under-treated for pain.
As with all older adults, those with dementia are at risk for multiple sources and types of pain, including chronic pain from
conditions such as osteoarthritis and acute pain. Untreated pain in cognitively impaired older adults can delay healing, disturb
sleep and activity patterns, reduce function, reduce quality of life, and prolong hospitalization.
HTH, Cheryl