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Printed on 4/21/2026
For informational purposes only. This is not medical advice.
DoloPlus-2 is an observational pain scale for older adults with cognitive impairment who cannot reliably self-report pain. It includes somatic, psychomotor, and psychosocial reaction domains, with each item scored 0-3 for a total score of 0-30.
Formula: DoloPlus-2 total = somatic (0-15) + psychomotor (0-6) + psychosocial (0-9), range 0-30.
DoloPlus-2 has broad international use in cognitive-impairment populations, with >=5 commonly used as a practical pain-signal threshold.
Higher DoloPlus-2 totals indicate greater observed pain-behavior burden and support pain-management optimization with reassessment.
Use in cognitively impaired older adults, especially in long-term care and dementia-care settings where verbal pain report is unreliable.
Behavioral signs can be confounded by delirium, psychiatric symptoms, and non-pain distress; serial interpretation and clinical judgment are required.
For related assessments, see PAINAD Scale, Abbey Pain Scale and CPOT Score.
Disclaimer: This tool is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about your health.
Assess observational pain behaviors in advanced dementia using the 5-item PAINAD scale (0-10).
GeriatricsScreen pain in people with severe dementia using the 6-domain Abbey Pain Scale (0-18).
EmergencyEstimate pain behavior in non-verbal or critically ill adults using CPOT domains (facial expression, body movement, muscle tension, and ventilator/vocalization).
EmergencyClassify bedside agitation or sedation from +4 (combative) to -5 (unarousable) using the Richmond Agitation-Sedation Scale.