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Modern Health Home Care

Pain in Dementia: Recognizing the Signs

The communication disconnect that often occurs in someone with dementia may make it difficult or impossible for a senior to describe what’s hurting. Or it could be that the senior has lost the ability to remember or recognize the sensation of pain. Sometimes, the fear of having to face a hospitalization, take additional medications, or be placed in a nursing home will prevent a senior from sharing the pain experienced. It could even be a matter of pride for a senior who can still communicate effectively but believes they should manage the pain independently.


Whatever the reason, it’s essential to know the signs to watch for and seek medical assistance to rule out any health-related concerns. In addition to those mentioned above, keep an eye out for symptoms such as:

  • Groaning or whimpering

  • Tense, grimacing, or frightened facial expressions

  • Crying

  • Calling out

  • Clenching fists

  • Withdrawing from activities

  • Becoming combative

  • Increasingly confused

  • Being inconsolable

  • Protecting a particular body part

  • Wandering/pacing/restlessness

  • Labored breathing or higher than usual heart rate or blood pressure


The senior may be experiencing pain from a chronic health condition, recovery from a surgical procedure or recent injury, an illness or infection, or simply an everyday issue such as constipation, stomachache, headache, etc.

If these or any other concerning behaviors are noted in a senior you love, contact their doctor immediately for help in addressing the root cause of the issue. Many prescription-free ways may be helpful (with the doctor’s approval and guidance), such as:

  • The use of cold packs or heating pads

  • Massage or gentle exercise

  • Air or gel cushions, along with more frequent position changes

  • OTC pain relievers

Additionally, sometimes relaxing activities can help distract the senior from any discomfort, such as listening to favorite music or a book read aloud, visiting with a friend or family member, or pet therapy. Finally, changing the senior’s environment by moving outside to the porch or garden may be all it takes to restore contentment.


The dementia care specialists at Modern Health Home Care are skilled in detecting changes in the condition of the seniors we serve and keeping seniors with dementia comfortable, safe, and content. We provide the professional and compassionate home health care Philadelphia seniors, and their families need. Our senior care team also serves locations throughout the Philadelphia area. Contact us at 215.995.2012 or a trusted partner caring for a senior you love.

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