What are the signs of pain in a person with dementia who cannot speak

People with dementia who cannot speak often find it very hard to tell others when they are in pain. This makes it challenging for caregivers and family members to know when something is wrong. However, there are several signs that can help identify if a person with dementia is experiencing pain.

**Changes in Facial Expressions**
One of the most noticeable signs is changes in facial expressions. The person might grimace, frown, or show a look of distress even if they don’t say anything[1].

**Body Movements and Posture**
They may guard or protect certain parts of their body by holding them tightly or avoiding movement. For example, they might hold their arm close to their chest or limp while walking[1].

**Vocal Sounds**
Even if they cannot speak clearly, people with dementia might make unusual sounds such as moaning, groaning, crying out softly, or sighing more than usual[1][2].

**Behavioral Changes**
Pain can cause restlessness or agitation. They may become more irritable, anxious, or aggressive without an obvious reason[2]. Sometimes they may try to move away from what hurts but cannot explain why.

**Changes in Routine Activities and Sleep Patterns**
A person in pain might eat less because chewing hurts or have trouble sleeping due to discomfort[5]. They could also withdraw from social interactions and activities they usually enjoy.

Caregivers should pay close attention to these signs because people with dementia often cannot describe their pain verbally. Observing subtle changes helps ensure timely care and relief for the individual’s suffering.

In summary: watch for grimacing faces; guarding movements; unusual vocalizations like moans; sudden irritability; changes in eating and sleeping habits—these all point toward possible pain even when words are missing[1][2][5].