Page 58 - Demo

MCQ 20: Pain AssessmentWhich of the following pain assessment tools is most appropriate for a patient with advanced dementia who cannot selfreport pain?A. Visual Analogue ScaleB. Numerical Rating ScaleC. McGill Pain QuestionnaireD. PAINAD (Pain Assessment in Advanced Dementia) ScaleE. Brief Pain InventoryAnswer: PAINAD (Pain Assessment in Advanced Dementia) ScaleExplanation: The PAINAD Scale is specifically designed for assessing pain in patients with advanced dementia who cannot self-report. It relies on observational cues such as breathing, vocalization, facial expression, body language, and consolability. The Visual Analogue Scale, Numerical Rating Scale, McGill Pain Questionnaire, and Brief Pain Inventory all require the patient to self-report their pain, which is not possible in advanced dementia. Using appropriate pain assessment tools in non-verbal patients is crucial for effective pain management in palliative care.