During an admission assessment of a patient with dementia and recent falls, the nurse will assesses for pain by: (Select all that apply.)

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Intellectually/cognitively impaired persons, such as patients with dementia, may have a limited ability to communicate information about pain, which places them at high risk for undertreatment of pain.Discussion with the family or other health care team members can help you identify patterns that may indicate that a patient is experiencing pain.Be attentive to behavioural cues of pain, by examining facial expressions or changes in appetite, daily activities, involvement in social activities, or sleep-wake cycles.Assess any sudden onset of acute confusion or delirium because it may indicate poor control of pain.

During an Admission Assessment of a Patient with Dementia and Recent