After watching Mom’s last days at the nursing home when she was uncommunicative, I often have wondered how caregivers would realize that a loved one who is at the end stages of Alzheimer’s was in pain. That’s where the Pain Assessment in Advanced Dementia (PAINAD) scale can be of use.
According to Lippincott’s Nursing Center.com, this scale is a behavior-observation tool for use with people who have advanced dementia to the point that they can no longer communicate verbally....

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