PAINAD (Pain Assessment in Advanced Dementia)
PAINAD scale for advanced dementia (Warden 2003): breathing, negative vocalization, facial expression, body language, and consolability each 0-2; sum 0-10 (0 no pain, 1-3 mild, 4-6 moderate, 7-10 severe).
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Breathing independent of vocalization
- 1
- Negative vocalization
- 2
- Facial expression
- 1
- Body language
- 1
- Consolability
- 1
Result: PAINAD 6: moderate pain per Warden 2003 (0 no pain; 1-3 mild; 4-6 moderate; 7-10 severe).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- 0
- No pain.
- 1-3
- Mild pain / discomfort.
- 4-6
- Moderate pain.
- 7-10
- Severe pain.
What you enter
- Breathing independent of vocalization (0-2)
- Negative vocalization (0-2)
- Facial expression (0-2)
- Body language (0-2)
- Consolability (0-2)
How this is calculated
Warden V, Hurley AC, Volicer L. Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale. J Am Med Dir Assoc. 2003;4(1):9-15. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.