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Pain tool for nonverbal, dementia, alzheimers, and terminal patients



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  #1  
Old Aug 31, 2007, 09:48 AM
Registered User
Join Date: Aug 2007
Pain tool for nonverbal, dementia, alzheimers, and terminal patients

Hi all,
We are trying to incorprate an easy to use tool in our assessment for the above population. Are there any you particularly like and also any tips or suggestions would be a great help. Thanks in advance, Judy

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  #2  
Old Aug 31, 2007, 04:25 PM
Registered User
Join Date: Sep 2003
Re: Pain tool for nonverbal, dementia, alzheimers, and terminal patients

We use the FLACC SCALE...We make copies for the families to have in the home so they can also do an assessment...just go on the web and type FLACC SCALE and pull up the Nat'l Hospice and Palliative Care Org site...I could not find it by just going into their web site! It's a fairly good tool!

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  #3  
Old Aug 31, 2007, 04:30 PM
Sabby_NC's Avatar
Senior Member
Join Date: Dec 2006
Re: Pain tool for nonverbal, dementia, alzheimers, and terminal patients

Thank you thank you thank you for the FLACC SCALE.

I have been looking for something similar. Appreciated seeing this thread.

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  #4  
Old Sep 01, 2007, 09:36 AM
dosamigos76 (Female)
Registered User
Join Date: May 2003
Re: Pain tool for nonverbal, dementia, alzheimers, and terminal patients

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

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  #5  
Old Sep 02, 2007, 07:47 AM
aimeee's Avatar
median moderator
Join Date: May 1999
Re: Pain tool for nonverbal, dementia, alzheimers, and terminal patients

We use the PAINAD scale too.

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  #6  
Old Sep 02, 2007, 10:13 AM
NRSKarenRN's Avatar
Co-Administrator
Join Date: Oct 2000
Re: Pain tool for nonverbal, dementia, alzheimers, and terminal patients

flacc scale

FLACC SCALE

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