The Guide

Give Every Person a Voice, Even When Words Fail

When pain cannot be voiced in words, it is communicated in other ways. These changes are commonly observed in people living with dementia.

This guide is for anyone affected by dementia; whether you’re a care professional or your loved one is currently navigating their own dementia journey. It draws on guidance and research from Australia, the United Kingdom, and the United States.

It explores how pain can present in people living with dementia and how structured observational pain assessment supports more informed, personalized care.

Supporting Comfort and Easing Pain

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Practical Care Guide

Recognising & Assessing Pain in Dementia: A Practical Guide for Care Professionals

A practical guide for recognizing and assessing pain in people living with dementia, including a non-verbal pain checklist to help identify signs across facial expression, movement, voice, behavior and routine.

The guide also outlines the four pain-management domains and the importance of recording these consistently.

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Quick Reference Sheet

Dementia Care Tips for Communication

A quick reference sheet of communication strategies to help create a comfortable and reassuring environment during pain assessments using PainChek®.

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Where to Find Additional Support

Connect with leading international bodies dedicated to research, advocacy, early diagnosis, and family support


Where PainChek Fits 

PainChek® exists to give a voice to those who cannot always put their pain into words for their care team. It is an evidence-based assessment tool that works on smart devices.

It combines published research with clinically backed insights, helping care teams recognize the subtle signs of pain, monitor changes over time, and make informed decisions that reflect each resident’s individual needs. For residents, that means greater comfort and dignity.

For loved ones, it means peace of mind.

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FAQs

How Does PainChek® Work?

PainChek® works by combining smartphone camera video, artificial intelligence (AI), and a carer checklist to calculate a person's pain score in under three minutes.

Who is PainChek® for?

PainChek® is designed for use across care settings, including residential aged care, home care and hospitals. It can support pain assessment for people who cannot reliably verbalise their pain, people who can self-report, and people whose ability to communicate fluctuates.

Can PainChek® be used for residents who can't communicate their pain?

Yes. PainChek® is designed to support pain assessment for residents who can't reliably self-report, including people living with dementia. It combines facial micro-expression analysis with caregiver observations to produce an objective pain score, helping teams determine whether pain may be contributing to a resident's distress.

Can PainChek® be used at home?

Yes. PainChek® is available for professional carers working in home care settings. It enables pain to be assessed at the point of care in a person's home and supports ongoing monitoring and pain management.

What evidence is available that PainChek® works in long-term care?

PainChek® is FDA De Novo-granted (DEN240073) and was validated through a pivotal clinical study in US skilled nursing facilities. It has also been used in clinical practice across Australia, New Zealand, the UK, and Canada since 2017. More than 2,000 organisations have completed over 20 million assessments worldwide.

See PainChek® working in real organisations

1-Jun-04-2026-06-37-40-0307-AM
CASE STUDY · AGED CARE · AUSTRALIA

How Southern Cross Care (SA, NT & VIC) Inc improved pain outcomes and staff confidence with PainChek®

Southern Cross Care (SA, NT & VIC) Inc began its journey with PainChek® after recognising a growing challenge: supporting residents with complex needs, including many living with dementia.

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CASE STUDY · AGED CARE · AUSTRALIA

Transforming pain management with PainChek® & BESTMED at Synovum Care

As part of their vision to provide best-practice solutions to manage their residents' complex needs, the Synovum Care team introduced two cutting-edge technology platforms.

3-Jun-04-2026-06-37-33-9278-AM
CASE STUDY · AGED CARE · UK

Using PainChek® to keep a palliative resident pain-free in her final days

A 97-year-old palliative resident rarely communicated her pain, so her care team used PainChek® for daily assessments, keeping her comfortable and pain-free in her final days.

References
  1. Australian Government Department of Health, Disability and Ageing. (2025). Strengthened Aged Care Quality Standards – August 2025. https://www.health.gov.au/sites/default/files/2025-08/strengthened-aged-care-quality-standards-august-2025.pdf
  2. Australian Government Department of Health. (2021). The National Strategic Action Plan for Pain Management. https://www.health.gov.au/resources/publications/the-national-strategic-action-plan-for-pain-management
  3. Australian Government Department of Health, Disability and Ageing. (2025). Audit Evidence Collection Tool, May 2025. https://www.agedcarequality.gov.au/resource-library/audit-evidence-collection-tool-aect-renewal

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Ready to improve pain assessment in your facility?

Calvary Health Care's experience demonstrates how PainChek® supports consistent, evidence-based pain assessment for residents living with dementia—improving clinical confidence and care outcomes.