Pain assessment in elderly with dementia: Brazilian validation of the PACSLAC scale

Thé, Karol Bezerra; Gazoni, Fernanda Martins; Cherpak, Guilherme Liausu; Lorenzet, Isabel Clasen; Santos, Luciana Alves dos; Nardes, Edlene Maria; Santos, Fânia Cristina

doi:10.1590/s1679-45082016ao3628

Cited by 16 publications

(21 citation statements)

References 33 publications

(37 reference statements)

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“…In practical terms, with the Abbey and PACSLAC scales that have been validated in this region, the nurse can perform a multidimensional assessment of pain in an average of 15 min, and training in the use of these scales requires only a few hours, and it has been suggested that family caregivers may also apply these scales to their relatives with dementia (Franco and De Lucas, 2001; Herr et al, 2006; McAuliffe et al, 2009; Chamorro and Puche, 2013; Montoro-Lorite and Canalias-Reverter, 2015; Papiol Espinosa and Abades Porcel, 2015; Bezerra Thé et al, 2016; Tsai et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Instruments for pain assessment in patients with advanced dementia: A systematic review of the evidence for Latin America

Coca

Zúñiga

2020

Pall Supp Care

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Objective Pain treatment is an essential component of care for elderly patients with advanced dementia. The objective of this study was to identify and analyze the different scales used for pain assessment in elderly persons diagnosed with dementia, in the literature available at the Latin American level. Method A systematic review was performed on the existing scales for pain assessment in elderly people diagnosed with Alzheimer's disease, vascular dementia, and dementia with Lewy bodies. Results 226 articles were retrieved from the PUBMED, BIREME, and Scielo databases, of which a total of 10 articles entered the systematic review. The instruments identified in these publications were PAINAD, Abbey, McGill, and PACSLAC, while the Colored Pain Scale, Faces Pain Scale, and VAS scales were used as the silver standard. In Spanish, the Abbey scale, and in Portuguese, the PACSLAC scale showed the best reliability and validity coefficients. Significance of results It is concluded that there are only two appropriate scales for the assessment of pain in people with dementia in the region of interest of this study. It is recommended to generate more evidence for a more accurate assessment of pain in people with dementia.

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Section: Discussionmentioning

confidence: 99%

Instruments for pain assessment in patients with advanced dementia: A systematic review of the evidence for Latin America

Coca

Zúñiga

2020

Pall Supp Care

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“…5 Another example is the Pain Assessment Check List for Seniors with Limited Ability to Communicate (PACSLAC) scale. 26 This scale is a checklist that is used to assess pain in nursing home residents who have dementia and are unable to communicate verbally. The PACSLAC includes 4 subscales: facial expressions, activity/body movement, social/personality mood, and other.…”

Section: Discussionmentioning

confidence: 99%

Do Nursing Home Residents With Dementia Receive Pain Interventions?

Nakashima

Young

Hsu

2019

Am J Alzheimers Dis Other Demen

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This study compares pain interventions received by nursing home residents with and without dementia. Secondary data analyses of cross-sectional data from 50,673 nursing home residents in New York State were collected by the Minimum Data Set 3.0. Frequency distributions and bivariate analyses with w 2 tests were used to organize and summarize the data. Logistic regression analyses were performed to quantify the relationship between dementia and pain interventions. Our results show that residents with dementia had significantly fewer pain assessments and less reported pain presence than their counterparts. After adjusting for covariates, the results indicate that residents with dementia were significantly less likely to receive pro re nata and nonmedication pain intervention. However, there were no significant differences in scheduled pain medication between the 2 groups. To address the gap, we need more research to design a pain assessment tool that can differentiate severity of pain so that appropriate interventions can be applied.

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“…Thus, it has been shown that there are brain activation and excitability regarding painful stimulation in the elderly with cognitive disorders. Thé et al 15 observed the need for an instrument to assess pain in older people with neurocognitive disorders and developed PACSLAC. It is an instrument composed of 60 observational items, separated by domains comprised of facial expressions, movement and body activities, sociability, personality/mood, and others 19,[31][32][33] .…”

Section: Santos Et Al 19mentioning

confidence: 99%

“…PAINAD quantifies its domains with quantitative variation from zero to 10 points, based on pain patterns. Scores of 1 to 3 points are considered mild pain, 4 to 6 reflect moderate pain, and 7 to 10 points are considered severe pain conditions 15,[34][35][36] . In the literature reviewed for this study, a simplified instrument, NOPPAIN 17 was found.…”

Section: Santos Et Al 19mentioning

confidence: 99%

Multidimensional instruments validated in Brazil for pain evaluation in the elderly: narrative review

Aguiar

Pinheiro

2019

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Multidimensional instruments for the evaluation of pain in the elderly allows to identify the conditions that involves pain considering the emotional, physical, psychological, social, and economic aspects. They are ancillary tools in the prognosis of diseases, in addition to allowing a better approach to pain considering their assessed dimensions. The objective of this study was to review the literature on multidimensional instruments validated in Brazil for the evaluation of pain in the elderly, identifying instruments aimed at elderly people with neurocognitive disorders. CONTENTS: This was a narrative review of the literature with scientific articles searched in the electronic databases Pubmed, LILACS, and Scielo. The following keywords of the Portuguese language defined by the DeCS were used: pain, pain threshold, pain measurement, aging, and the elderly. Scientific articles on instruments validated in Brazil and published in the period from 2000 to 2018 were included. There were 38 articles, of which 33 were excluded, and only 5 articles were included. The validated instruments found for pain assessment in the elderly in Brazil were the McGill Pain Questionnaire, Geriatric Pain Measure, Pain Assessment Checklist for Seniors with Pain Assessment Checklist for Seniors with Limited Ability to Communicate, Non-Communicative Patient´s Pain Assessment Instrument, Pain Assessment in Advanced Dementia. CONCLUSION: The five instruments found offer the health professional a range of tools to understand pain better. Of these, three instruments allow the assessment of pain in the elderly with neurocognitive disorders.

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Pain assessment in elderly with dementia: Brazilian validation of the PACSLAC scale

Cited by 16 publications

References 33 publications

Instruments for pain assessment in patients with advanced dementia: A systematic review of the evidence for Latin America

Instruments for pain assessment in patients with advanced dementia: A systematic review of the evidence for Latin America

Do Nursing Home Residents With Dementia Receive Pain Interventions?

Multidimensional instruments validated in Brazil for pain evaluation in the elderly: narrative review

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