An 88-year-old woman with severe dementia screams during transfers. She cannot describe pain verbally. She has reduced hip movement and grimaces when

Question

An 88-year-old woman with severe dementia screams during transfers. She cannot describe pain verbally. She has reduced hip movement and grimaces when moved. Current medicines include paracetamol as needed. What is the most appropriate assessment?

Accepted Answer

Structured pain assessment and analgesia trial

Answer

Assume behaviour is intentional

Answer

Restrict movement permanently

Answer

Start antipsychotic treatment without pain review

Answer

Refer for psychotherapy as the main intervention

Dementia pain behaviour — DGM MCQ

An 88-year-old woman with severe dementia screams during transfers. She cannot describe pain verbally. She has reduced hip movement and grimaces when moved. Current medicines include paracetamol as needed. What is the most appropriate assessment?