The PAINAD (Pain Assessment in Advanced Dementia) scale is a vital tool in end-of-life care, especially for patients with advanced dementia who may no longer be able to verbally communicate their pain. By observing behaviors such as breathing, vocalizations, facial expressions, body language, and consolability, caregivers can assess and respond to discomfort that might otherwise go unnoticed. Using PAINAD ensures compassionate, appropriate pain management, upholds patient dignity, and supports comfort during the final stages of life.

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