Abstract
Assessment of the cognitively impaired older adult can improve cognition, pain behaviors and length of stay in acute care settings. Older adults in the hospital diagnosed with dementia were evaluated using the PAINAD scale and purposeful discussion with caretakers regarding past medical history and cognitive and functional status. A videotaped vignette of one of the patients was created to illustrate this complex assessment. Health care providers were educated on how the use of non-opiates, consistency, caregiver discussion and the PAINAD scale were able to reverse the patient's delirium and return her to a heightened cognitive level in five days.
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