Opi
Calc
BPI (Brief)
COMM
CPOT
DIRE Score
FLACC / NIPS
MME/MED Calc
ORT-R
PAINAD
PEG Score
VAS/NRS Scale
Widespread Pain Index
PAINAD
Breathing Independent of Vocalization
+0 Points
Normal
Resting quietly
+1 Points
Occasional labored
Short periods of hyperventilation
+2 Points
Noisy labored
Long periods of hyperventilation or Cheyne-Stokes
Negative Vocalization
+0 Points
None
Quiet or normal speech
+1 Points
Occasional moan/groan
Low-level speech with negative/disapproving quality
+2 Points
Repeated calling out
Loud moaning, groaning, or crying
Facial Expression
+0 Points
Smiling/Inexpressive
Neutral expression
+1 Points
Sad/Frightened
Frowning or furrowed brow
+2 Points
Facial grimacing
Tight jaw, deeply closed eyes
Body Language
+0 Points
Relaxed
Normal resting posture
+1 Points
Tense/Distressed pacing
Fidgeting
+2 Points
Rigid/Clenched fists
Knees pulled up, striking out, pulling away
Consolability
+0 Points
No need to console
Patient is calm
+1 Points
Distracted/Reassured
By gentle voice or touch
+2 Points
Unable to console
Resists distraction or reassurance
Total PAINAD Score
0
/ 10
No Pain Displayed
Advanced dementia masks verbal pain cues. Treat behaviors as pain equivalents.
Related Pain Medicine Tools
VAS/NRS Scale
BPI
PEG Score
CPOT
FLACC / NIPS
MME/MED Calc
ORT-R
COMM
DIRE Score
Widespread Pain Index
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