Pain is connected with emotional, cognitive, and behavioural disorders as well as functional issues. Moreover, chronic pain increases suffering, disability and social isolation which impacts negatively upon a person’s emotional, psychological, emotional and social wellbeing and consequently leads to a reduced quality of life and more years spent living with disability.  People living in long-term care facilities are often living with dementia or cognitive impairment, frailty and multiple comorbid conditions and can  experience complex forms of pain. As a consequence, long-term care facility residents are likely to experience issues with mental capacity and communication which can impact on their ability to articulate their pain and how this impacts upon them this has a significant impact on all aspects of their life and well-being. A person living with dementia may exhibit distressed behaviours as a result of experiencing pain and all too often this is considered indicative of a symptom of dementia as opposed to a manifestiation of unmanaged pain. Therefore, focusing on improving the identification, assessment and management of pain in residents living in long-term care is of the utmost importance.