Mr. Parkinson, aged 79, has moderately severe dementia of Alzheimer's type (DAT), a diagnosis that necessitated his move to a long-term care facility several months ago
Today, the nurse has entered Mr. Parkinson's room to find him lying in bed and grimacing, moaning, and rubbing his left flank. Which of the following tools may assist the nurse in assessing Mr. Parkinson?
A) The Agitated Behavior in Dementia Scale
B) The Wong-Baker Faces Rating Scale
C) The NEECHAM Confusion Scale
D) The CAGE questionnaire
Ans: B
The client's behavior is suggestive of pain, and the Wong-Baker Faces Rating Scale may be used to determine the presence or absence of pain in clients who are not able to communicate their needs. The other assessment scales do not measure pain.
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