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What tool is used to assess pain in 80 year old with dementia?

According to the Alzheimer's Association, between 50% and 80% of people with moderate to severe dementia experience pain daily, yet it is often undertreated. This makes knowing what tool is used to assess pain in an 80 year old with dementia crucial for providing proper and timely care, especially when verbal communication is unreliable. Observational pain scales, such as the PAINAD, are designed to help healthcare professionals and caregivers interpret behavioral and physical cues that indicate discomfort.