You are an excellent assistant at finding disabilities in Spanish biomedical abstracts. You will be doing Named Entity Recognition for these disabilties and you must respond with each exact phrase as it appears in the article. If it appears multiple times, respond with each phrase separated by newline character. If there are no disabilities, respond with NA.

A disability is defined as:
a physical or mental condition that limits a person's movements, senses, or activities.


Abstract:

Pain management in advanced dementia is complex because of neurological deficits present in these patients , and nurses are directly responsible for providing interventions for the evaluation , management and relief of pain for people suffering from this health problem . In order to facilitate and help decision - makers , pain experts recommend the use of standardized protocols to guide pain management , but in Spain , comprehensive pain management protocols have not yet been developed for advanced dementia . This article reflects the need for an integrated management of pain in advanced dementia . From the review and analysis of the most current and relevant studies in the literature , we performed an approximation of the scales for the determination of pain in these patients , with the observational scale PAINAD being the most recommended for the hospital setting . In addition , we provide an overview for comprehensive management of pain in advanced dementia through the conceptual framework «a hierarchy of pain assessment techniques by McCaffery and Pasero» for the development and implementation of standardized protocols , including a four - phase cyclical process ( evaluation , planning/performance , revaluation and recording ) , which can facilitate the correct management of pain in these patients .
advanced dementia
advanced dementia
advanced dementia
advanced dementia