Pain can often be missed or not recognised in people with dementia, due to communication difficulties. Here are some tips on how to recognise pain, what can cause it, and ways to alleviate it: 👣 Changes in behaviour can mean pain: are they pacing? Groaning? Grimacing? Shouting out? 💤 Physical changes can mean pain: are they pale? Cold or hot to the touch? Eating more or less than usual? Sleeping more or less? 👄 There are many hard to see reasons for pain: gum disease; arthritis; constipation