Can We Quickly and Thoroughly Assess Pain with the PACSLAC-II? A Convergent Validity Study in Long-Term Care Residents Suffering from Dementia

A previous study found that the modified version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-II) is a valid tool to assess pain in elderly individuals suffering from dementia and who are unable to communicate verbally. The primary objective of this study...

Full description

Saved in:
Bibliographic Details
Published in:Pain management nursing 2017-12, Vol.18 (6), p.410-417
Main Authors: Ruest, Mélanie, Bourque, Monique, Laroche, Sarah, Harvey, Marie-Philippe, Martel, Marylie, Bergeron-Vézina, Kayla, Apinis, Catherine, Proulx, Dominique, Hadjistavropoulos, Thomas, Tousignant-Laflamme, Yannick, Léonard, Guillaume
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Canada
Communication
Dementia - complications
Female
Geriatric Assessment - methods
Geriatric Assessment - statistics & numerical data
Humans
Long-Term Care - methods
Long-Term Care - statistics & numerical data
Male
Middle Aged
Nursing
Pain Measurement - instrumentation
Pain Measurement - methods
Pain Measurement - statistics & numerical data
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A previous study found that the modified version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-II) is a valid tool to assess pain in elderly individuals suffering from dementia and who are unable to communicate verbally. The primary objective of this study was to confirm the convergent validity of the PACSLAC-II using direct evaluation of long-term care residents in real-life situations, using two other well-validated pain assessment scales (i.e., PACSLAC and Pain Assessment in Advanced Dementia [PAINAD]). A secondary objective was to document and compare the time required to complete and score each assessment scale. During two potentially painful procedures (i.e., transfer/mobilization), 46 long-term care residents (mean age = 83 ± 10 years) suffering from dementia were observed by three independent evaluators, each using one of the assessment scales (randomly assigned). Correlational analyses and analysis of variance were used to evaluate the association between each scale and to compare scoring time. The PACSLAC (r = 0.61) and the PAINAD (r = 0.65) were both moderately associated with the PACSLAC-II (all p values 
ISSN:1524-9042
1532-8635
DOI:10.1016/j.pmn.2017.05.009