Innovative Pain Assessment: Recognising Pain Earlier

Renaissance Care is one of the first care providers in Scotland to use PainChek, an AI-powered pain assessment tool.

PainChek helps our clinical teams recognise signs of pain, especially for people who may find it difficult to explain how they are feeling, such as those living with dementia or communication difficulties.

The technology supports better, more personalised care by helping us understand when a resident may be uncomfortable and needs extra support.

How does PainChek work?

PainChek is a digital pain assessment tool that uses AI facial analysis alongside observations from our trained care teams. It looks at 42 signs of pain across six areas:

  • Facial expressions

  • Voice

  • Movement

  • Behaviour

  • Activity

  • Body

These observations help build a fuller picture of how someone may be feeling.

PainChek does not replace our carers or nurses. Every assessment is led by experienced clinical professionals, who use their judgement alongside the technology to decide the best course of action.

When needed, we work closely with GPs and other healthcare professionals to review care and medication.

How does PainChek benefit our residents?

PainChek helps us provide more responsive, person-centred care. The benefits include:

  • Earlier recognition of pain that may otherwise go unnoticed.

  • Better support for people who cannot easily communicate discomfort.

  • More evidence to support clinical decisions.

  • Medication reviews based on clear assessment trends.

  • The opportunity to reduce unnecessary medication where appropriate.

  • Improved comfort, wellbeing and quality of life.

  • Reduced stress and distress caused by untreated pain.

Painchek in Numbers

  • 21,972 Resident assessments completed in June 2026
  • 975 Residents assessed monthly
  • 19 Renaissance homes utilising PainChek technology

Supporting safe, personalised care

Every resident is different.

PainChek helps us monitor changes over time, so we can respond quickly if someone's needs change.

The technology is one part of our wider care planning process and is always used alongside:

  • Clinical judgement

  • Regular observation

  • Conversations with residents and families

  • Advice from GPs and other healthcare professionals

  • Research and innovation

To continue improving this technology further, Renaissance Care are working with Edinburgh Napier University, which is carrying out research into how PainChek supports residents in Scottish care services. This partnership helps us continue to develop evidence-based, person-centred care to benefit residents now and in years to come.

A nourish phone shows a facial analysis on painchek

Phillipa's Story

When Phillipa began experiencing discomfort, the team at Glencairn Care Home used PainChek as part of her assessment.

Rather than relying on verbal communication alone, the technology helped the team build a clearer picture of her pain while supporting Phillipa to take part in the assessment herself. This helped maintain her independence and dignity.

Using the assessment results alongside their clinical expertise, the team worked with Phillipa's GP to review her medication. Medication that was no longer helping was safely stopped.

As a result, Phillipa experienced:

  • Better sleep

  • Greater comfort

  • Improved overall wellbeing

  • Thanks to PainChek, our team is now more proactive and responsive in identifying and addressing signs of discomfort, especially for residents who may find it difficult to verbally express their pain. Staff combine the insights from PainChek assessments with their own observations, ensuring a truly person-centred approach. Team Lead Manager, Julie
  • The PainChek tool has been instrumental for several of our residents. In cases where a resident’s medication wasn’t effectively managing their pain, GPs have been able to reassess and adjust pain medications. As a result, we've seen a noticeable improvement in wellbeing, and in turn, our resident's desire to join in with activities and day trips Nadine Garcia, Torry Care Home Manager
A nurse is completing a painchek assessment on a resident. She is standing, holding the device with the camera looking at the residents face

Sharon's Story

When Sharon arrived at our Torry Care Home after a hospital stay, she was taking several pain medications.

The team used PainChek to monitor her comfort over time and provide evidence to support discussions with her GP. Together, they reviewed and adjusted Sharon's medication to better meet her changing needs.

For Sharon, this meant her care could adapt as her needs changed, something she says has made a real difference to how settled and comfortable she feels day-to-day.

Today, Sharon says she feels:

  • More comfortable

  • More settled

  • Better supported with personalised care

Supporting Resident Wellbeing Through Technology

Find out how Renaissance Care is adopting pain assessment technology PainChek to enhance resident wellbeing. 

Clinical Quality Manager Lauren Kenny Headshot

PainChek's Tailored Process

  • 1.

    A scan of the resident’s face is taken using the PainChek app on a smart device.

  • 2.

    The app analyses facial muscle movements linked to key nerve endings to detect potential pain indicators.

  • 3.

    A clinical lead then conducts a physical assessment, applying their professional clinical judgement.

  • 4.

    The PainChek results and clinical assessment are combined to generate an overall pain score

  • 5.

    This pain score can be shared with GPs to support pain management and treatment decisions.

  • 6.

    This comprehensive pain score empowers collaborative decision-making with GPs, resulting in optimised pain management strategies and treatment that supports our residents' holistic well-being

FAQ's

  • How does PainChek work?

    Aiding our teams, the easy-to-use PainChek tool non-invasively tracks and scores residents' pain through our care planning platform by combining clinical judgement with AI technology. This supports evidence-based collaboration with partners like GPs to create personalised interventions.

  • How accurate is PainChek AI?

    Studies such as those from the National Library of Medicine report that PainChek is effective in detecting pain in care home residents with over 90% accuracy. To leverage this and provide the best possible care, clinical judgement and observation are always used in conjunction with the tool, complementing its AI technology.

  • Is PainChek data secure?

    Security and data protection are hugely important to us. Aligning with these values, PainChek has achieved ISO/IEC 27001 certification, a globally recognised standard for information security management, demonstrating a commitment to robust data protection and risk management.

  • How does PainChek help staff identify non-verbal pain cues?

    PainChek uses AI-driven technology to conduct facial analysis, which supports the detection of non-verbal pain. The process also incorporates pain indicators such as body movements and vocalisations, and these insights, combined with clinical judgment, establish the pain score.

Arrange a Visit

The best way to experience the personal touch of our care homes is to come along for a free, no-commitment guided tour from one of our team. 

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