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Pain assessment in cognitive impairment

Patients with cognitive impairment may be slower to express pain, less able to localise it, or express it differently (e.g. aggression towards themselves or others). If unable to describe pain severity, an observational scale such as the PAINAD can help identify pain and assess response to analgesia (download the tool and associated instructions here).

For further advice, speak to the end of life Admiral Nurse (dementia CNS) on (01983) 533 331.

"They anticipate my needs and I believe go the extra mile in ensuring the quality of my life is enhanced".


Wendy Young, patient