103780-3
Pain assessment in advanced dementia PAINAD
Active
103776-1 Breathing independent of vocalization
Fully-Specified Name
- Component
- Breathing
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Additional Names
- Short Name
- Breathing
Basic Attributes
- Class
- H&P.HX
- Type
- Clinical
- First Released
- Version 2.77
- Last Updated
- Version 2.78
- Change Reason
- Release 2.78: METHOD_TYP: Per nursing request;
- Order vs. Observation
- Both
Survey Question
- Text
- Breathing independent of vocalization
Normative Answer List LL6337-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Normal breathing | 0 | LA30814-0 | |
| Occasional labored breathing | 1 | LA33667-9 | |
| Short period of hyperventilation | 1 | LA33668-7 | |
| Noisy labored breathing | 2 | LA33669-5 | |
| Long period of hyperventilation | 2 | LA33672-9 | |
| Cheyne-Stokes Copyright http://snomed.info/sct ID:309155007 Cheyne-Stokes respiration (finding) | 2 | LA25231-4 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 103780-3 | Pain assessment in advanced dementia PAINAD |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
103777-9 Negative vocalization
Term Description
1. None is characterized by speech or vocalization that has a neutral or pleasant quality.
2. Occasional moan or groan is characterized by mournful or murmuring sounds, wails, or laments. Groaning is characterized by louder than usual inarticulate involuntary sounds, often abruptly beginning and ending.
3. Low level speech with a negative or disapproving quality is characterized by muttering, mumbling, whining, grumbling, or swearing in a low volume with a complaining, sarcastic, or caustic tone.
4. Repeated troubled calling out is characterized by phrases or words being used over and over in a tone that suggests anxiety, uneasiness, or distress.
5. Loud moaning or groaning is characterized by mournful or murmuring sounds, wails, or laments in much louder
than usual volume. Loud groaning is characterized by louder than usual inarticulate involuntary sounds, often abruptly beginning and ending.
6. Crying is characterized by an utterance of emotion accompanied by tears. There may be sobbing or quiet weeping.
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Negative vocalization
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Additional Names
- Short Name
- Neg vocal
Basic Attributes
- Class
- H&P.HX
- Type
- Clinical
- First Released
- Version 2.77
- Last Updated
- Version 2.78
- Order vs. Observation
- Both
Survey Question
- Text
- Negative vocalization
Normative Answer List LL6340-5
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) | 0 | LA137-2 | |
| Occasional moan or groan | 1 | LA33673-7 | |
| Low level of speech with a negative or disapproving quality | 1 | LA33674-5 | |
| Repeated troubled calling out | 2 | LA33675-2 | |
| Loud moaning or groaning | 2 | LA33676-0 | |
| Crying | 2 | LA29193-2 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 103780-3 | Pain assessment in advanced dementia PAINAD |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| it-IT | Italian (Italy) | PAINAD.Vocalizzazione negativa: Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio) |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
103778-7 Facial expression
Form Coding Instructions
1. Smiling or inexpressive. Smiling is characterized by upturned corners of the mouth, brightening of the eyes, and a look of pleasure or contentment. Inexpressive refers to a neutral, at ease, relaxed, or blank look. 2. Sad is characterized by an unhappy, lonesome, sorrowful, or dejected look. There may be tears in the eyes. 3. Frightened is characterized by a look of fear, alarm, or heightened anxiety. Eyes appear wide open. 4. Frown is characterized by a downward turn of the corners of the mouth. Increased facial wrinkling in the forehead and around the mouth may appear. 5. Facial grimacing is characterized by a distorted, distressed look. The brow is more wrinkled, as is the area around the mouth. Eyes may be squeezed shut.
Source: Nursing Knowledge Big Data Science Encoding-Modeling WorkgroupFully-Specified Name
- Component
- Facial expression
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Additional Names
- Short Name
- Facial expression
Basic Attributes
- Class
- H&P.HX
- Type
- Clinical
- First Released
- Version 2.77
- Last Updated
- Version 2.78
- Order vs. Observation
- Both
Survey Question
- Text
- Facial expression
Normative Answer List LL6341-3
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Smiling or inexpressive | 0 | LA33677-8 | |
| Feeling sad | 1 | LA33685-1 | |
| Frightened | 1 | LA16653-0 | |
| Frown | 1 | LA33691-9 | |
| Facial grimacing | 2 | LA33692-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 101967-8 | Neonatal infant pain scale panel (NIPS) |
| 103780-3 | Pain assessment in advanced dementia PAINAD |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| it-IT | Italian (Italy) | Espressione del viso: Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio) |
| ru-RU | Russian (Russian Federation) | Лица выражение: Synonyms: Порядковый Точка во времени; |
| zh-CN | Chinese (China) | 面部表情: Synonyms: 依次型; |
103779-5 Body language
Term Description
1. Relaxed is characterized by a calm, restful, mellow appearance. The person seems to be taking it easy.
2. Tense is characterized by a strained, apprehensive, or worried appearance. The jaw may be clenched. (Exclude any contractures.)
3. Distressed pacing is characterized by activity that seems unsettled. There may be a fearful, worried, or disturbed element present. The rate may be faster or slower.
4. Fidgeting is characterized by restless movement. Squirming about or wiggling in the chair may occur. The person might be hitching a chair across the room. Repetitive touching, tugging, or rubbing body parts can also be observed.
5. Rigid is characterized by stiffening of the body. The arms and/or legs are tight and inflexible. The trunk may appear straight and unyielding. (Exclude any contractures.)
6. Fists clenched is characterized by tightly closed hands. They may be opened and closed repeatedly or held tightly shut.
7. Knees pulled up is characterized by flexing the legs and drawing the knees up toward the chest. An overall troubled appearance. (Exclude any contractures.)
8. Pulling or pushing away is characterized by resistiveness upon approach or to care. The person is trying to escape by yanking or wrenching him- or herself free or shoving you away.
9. Striking out is characterized by hitting, kicking, grabbing, punching, biting, or other form of personal assault.
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Body language
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Additional Names
- Short Name
- Body language
Basic Attributes
- Class
- H&P.HX
- Type
- Clinical
- First Released
- Version 2.77
- Last Updated
- Version 2.78
- Order vs. Observation
- Both
Survey Question
- Text
- Body language
Normative Answer List LL6393-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Relaxed | 0 | LA32283-6 | |
| Tense | 1 | LA33837-8 | |
| Distressed pacing | 1 | LA33838-6 | |
| Fidgeting | 1 | LA33839-4 | |
| Rigid | 2 | LA25043-3 | |
| Fists clenched | 2 | LA33840-2 | |
| Knees pulled up | 2 | LA33841-0 | |
| Pulling or pushing away | 2 | LA33843-6 | |
| Striking out | 2 | LA33844-4 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 103780-3 | Pain assessment in advanced dementia PAINAD |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| it-IT | Italian (Italy) | PAINAD.Linguaggio del corpo: Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio) |
103775-3 Consolability
Term Description
1. No need to console is characterized by a sense of well-being. The person appears content.
2. Distracted or reassured by voice or touch is characterized by a disruption in the behavior when the person is
spoken to or touched. The behavior stops during the period of interaction, with no indication that the person is at all
distressed.
3. Unable to console, distract, or reassure is characterized by the inability to soothe the person or stop a behavior with
words or actions. No amount of comforting, verbal or physical, will alleviate the behavior.
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Consolability
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Additional Names
- Short Name
- Consolability
Basic Attributes
- Class
- H&P.HX
- Type
- Clinical
- First Released
- Version 2.77
- Last Updated
- Version 2.78
- Order vs. Observation
- Both
Survey Question
- Text
- Consolability
Normative Answer List LL6394-2
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No need to console | 0 | LA33845-1 | |
| Distracted or reassured by voice or touch | 1 | LA33846-9 | |
| Unable to console, distract, or reassure | 2 | LA33847-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 103780-3 | Pain assessment in advanced dementia PAINAD |
Copyright
- Organization
- PAINAD Scale
- Copyright
- Warden, V, Hurley AC, Volicer, V. (2003). Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) Scale. J Am Med Dir Assoc, 4:9-15. Developed at the New England Geriatric Research Education & Clinical Center, Bedford VAMC, MA.
103781-1 Total Score (0 to 10)
Fully-Specified Name
- Component
- Total score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- PAINAD
Additional Names
- Short Name
- Total score PAINAD
Basic Attributes
- Class
- H&P.HX
- Type
- Clinical
- First Released
- Version 2.77
- Last Updated
- Version 2.78
- Order vs. Observation
- Both
Survey Question
- Text
- Total Score (0 to 10)
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 103780-3 | Pain assessment in advanced dementia PAINAD |
Example Units
| Unit | Source |
|---|---|
| {score} | Example UCUM Units |
104532-7 Pain score interpretation
Term Description
Developers of standardized pain assessment scales often use a total score between zero and ten (0 - 10) to assess pain level. The clinician's interpretation of the score is rarely included in the standardized assessment scale. This reusable pain scale score interpretation can be used in conjunction with the developer's pain assessment scale when the developer (or designated clinical subject matter expert) validates the answer list meaning is an exact match.
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Pain score interpretation
- Property
- Imp
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- PAINAD
Additional Names
- Short Name
- Pain score interpre PAINAD
Basic Attributes
- Class
- H&P.HX
- Type
- Clinical
- First Released
- Version 2.78
- Last Updated
- Version 2.78
- Order vs. Observation
- Order
Survey Question
- Text
- Pain score interpretation
Example Answer List LL6562-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No pain | 0 | LA131-5 | |
| Mild pain | 1-3 | LA15111-0 | |
| Moderate pain | 4-6 | LA135-6 | |
| Severe pain | 7-10 | LA15109-4 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 103780-3 | Pain assessment in advanced dementia PAINAD |