Dementia comes in several forms. Simply because somebody has dementia does not mean that he or, she has lost the sensation of pain.
My father in law has Alzheimer's, a form of Dementia, he is 90 going on 4 years of age but he can still let you know if he is in pain. He has rheumatoid arthritis in both knees and part of the condition can lead to an inability to walk.
Having dementia does not mean that they can't express feeling of pain or emotions any more although their pain might be expressed by simply moaning or by simply talking about it all the time as is the case with my father in law, you just have to learn to recognise their mood changes.
Check out my 'Dad's Dementia' and his journey into Alzheimer's...
I think the best way to determine if a person with dementia is in pain is to ask them. While cognitive ability may be effected, the baser instinctive pain receptors should stay in tact, just like in an infant. The part of the brain damaged in most forms of dementia is not the same area that detects and communicates pain.
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