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Updated: Feb 17, 2026

Multi-Modal Signals for Analyzing Pain Responses to Thermal and Electrical Stimuli
Published on: April 5, 2019
Instruments for assessing pain in persons with severe dementia
Natália Lindemann Carezzato1, Gabriela Gallego Valera2, Francisco Assis Carvalho Vale3
1Resident Nurse in Nursing in Health of Adults and Elderly - UNICAMP, Campinas SP, Brazil. Bachelor and Licentiate degree in Nursing from the Federal University of São Carlos, Center for Biological Science and Health/Department of Nursing, São Carlos SP, Brazil.
Abstract:
Through an integrative literature review involving the CINAHL, Cochrane, Embase, LILACS, PsycINFO, PubMed databases, tools available in the literature for assessing pain in individuals with severe dementia were identified along with versions validated for use in Brazil. We found 1501 relevant articles which, after selection of abstracts and full reading, yielded a final sample of 33 articles. The analysis enabled the identification of 12 instruments: ABBEY PAIN SCALE; ADD; CNPI; CPAT; DOLOPLUS-2; MOBID and MOBID-2; MPS; NOPPAIN; PACSLAC; PADE; PAINAD and PAINE. Despite the wide variety of tools for assessing pain in individuals with severe dementia worldwide, it was observed that only four are available in Portuguese, of which two are culturally adapted for Brazilian Portuguese (NOPPAIN and PACSLAC) and two validated for Portuguese of Portugal (DOLOPLUS and PAINAD), pointing to the need for further validation of instruments for use in Brazil.
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