Analysis

The Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC) is a tool used to evaluate pain in elderly individuals who are unable to communicate effectively, such as those with severe cognitive impairments or dementia. The tool is designed to identify behavioral and physical signs of pain that may not be easily detected through traditional communication methods.

Purpose

The primary purpose of the PACSLAC is to provide a systematic approach to recognizing and assessing pain in individuals with limited communication ability. Pain assessment is critical for appropriate management and the provision of proper treatment and relief for these patients. The PACSLAC helps improve the quality of care and pain management through the observation of specific behaviors and physical indicators.

Scoring

Scoring of the PACSLAC is carried out through an observation scale, where healthcare professionals or caregivers record the observed behaviors and physical signs of pain. The results are used to estimate the severity of pain and to make decisions regarding the management of the patient’s condition.

References

Herr, K., & Titler, M. G. (2004). Pain assessment in persons with dementia: A review of the literature and the development of a new assessment tool. Journal of Gerontological Nursing, 30(5), 43-49.
Horgas, A. L., & Dunn, S. M. (2001). Pain assessment in older adults with dementia: Development and validation of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC). Journal of Pain and Symptom Management, 22(2), 117-125.
Morrison, R. S., & Siu, A. L. (2000). Assessment and treatment of pain in elderly patients with dementia. Journal of the American Geriatrics Society, 48(5), 583-589.
Ferrell, B. A., & Coyle, N. (2008). Pain assessment and management in the elderly. Journal of Pain and Symptom Management, 35(5), 442-452.