Tag: Nonverbal Patient

Articles dealing with nonverbal patients and how to best care for the patient who is nonverbal.

Understanding the Importance of the PAINAD Scale in Pain Assessment for Terminally Ill Patients

Paidad Scale To Assess For Pain Observationally
As experienced hospice nurses, our primary goal is to provide the best possible care and comfort to our terminally ill patients during their final journey. Pain management is a crucial aspect of hospice care, and it becomes even more challenging when dealing with patients who may have difficulty expressing their pain due to cognitive impairments or other factors. In such situations, the PAINAD scale emerges as a valuable tool for pain assessment. Let's explore why and when using the PAINAD scale is essential, particularly when patients consistently over or underreport their pain.
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Managing Terminal Restlessness

Exhausted Patient From Restlessness
Losing a loved one is an incredibly challenging experience, and witnessing changes in their behavior and well-being can be distressing. As a hospice nurse, I've supported many families and caregivers through this grim time. One common symptom that may arise towards the end of life is restlessness. In this article, I will explain the different types of restlessness and offer guidance on how to manage them. Understanding these distinctions can provide valuable insights into your loved one's condition and help you navigate the final stages of their life with compassion and care.
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How to Use the Pain Assessment in Advanced Dementia Scale (PAINAD) to Determine Discomfort in Your Loved One with Dementia

Paidad Scale To Assess For Pain Observationally
If you have a loved one with dementia, it can be difficult to know if they are in pain or discomfort. The Pain Assessment in Advanced Dementia Scale (PAINAD) is a tool that can help you determine if your loved one is uncomfortable. The Pain Assessment in Advanced Dementia Scale (PAINAD) is different from other pain assessment tools for people with dementia in several ways:
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Terminal Restlessness in the Completely Nonverbal Patient

Terminal restlessness is a common phenomenon that occurs in the final stages of life, characterized by agitation, confusion, and distress. It can be challenging to recognize and manage, especially in patients who are unable to communicate verbally. This article aims to share some insights and tips from a hospice worker who learned how terminal restlessness can manifest differently in nonverbal patients, and how to cope with it.
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Assessing pain in non-verbal patients

Pain is a subjective sensation that can affect a person’s physical, emotional, and spiritual well-being. While pain can be measured objectively by using vital signs such as temperature, pulse, blood pressure, and respiration count, these indicators may not reflect the true intensity of pain that a person is experiencing. This is especially true for non-verbal patients, who cannot communicate their pain verbally. Non-verbal patients may include those with advanced dementia, terminal illness, or other conditions that impair their speech. In this article, I will discuss the importance of assessing pain in non-verbal patients, the tools and methods that can be used to do so, and the benefits of providing adequate pain relief for these patients.
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