Evidence-based Development and Initial Validation of the Pain Assessment Checklist for Seniors With Limited Ability to Communicate-II (PACSLAC-II)

Chan, Stella W. Y.; Hadjistavropoulos, Thomas; Williams, John A.; Lints-Martindale, Amanda C.

doi:10.1097/ajp.0000000000000039

Cited by 75 publications

(73 citation statements)

References 56 publications

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“…Nursing home settings.PACSLAC internal consistency ( α = 0.62–0.92) [336, 337]. PACSLAC-II internal consistency ( α = 0.74–0.77) [334]. Moderate correlations between PACSLAC scores and global pain intensity ratings ( r = 0.39–0.54) [337].…”

Section: Introductionmentioning

confidence: 99%

“…Good correlation between PACSLAC scores and VDS ( r = 0.81) and VAS (0.72–0.86) for unblended rating of acute influenza injection [336]. Both PACSLAC and PACSLAC-II have demonstrated good differentiation between painful and non-painful states in patients ( p < 0.01) [324, 334]. Good construct validity against NOPPAIN and PAINAD ( r = 0.66–0.78) [324].…”

Section: Introductionmentioning

confidence: 99%

“…Good construct validity against APS ( r = 0.79) [327]. PACSLAC and PACSLAC-II have strong correlation ( r = 0.81–0.89) and the NOPPAIN ( r = 0.73) [334]. Inter-rater reliability at rest and during movement (ICC ≥0.76) [299, 324, 327].…”

Section: Introductionmentioning

confidence: 99%

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Low back pain in older adults: risk factors, management options and future directions

2017

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Low back pain (LBP) is one of the major disabling health conditions among older adults aged 60 years or older. While most causes of LBP among older adults are non-specific and self-limiting, seniors are prone to develop certain LBP pathologies and/or chronic LBP given their age-related physical and psychosocial changes. Unfortunately, no review has previously summarized/discussed various factors that may affect the effective LBP management among older adults. Accordingly, the objectives of the current narrative review were to comprehensively summarize common causes and risk factors (modifiable and non-modifiable) of developing severe/chronic LBP in older adults, to highlight specific issues in assessing and treating seniors with LBP, and to discuss future research directions. Existing evidence suggests that prevalence rates of severe and chronic LBP increase with older age. As compared to working-age adults, older adults are more likely to develop certain LBP pathologies (e.g., osteoporotic vertebral fractures, tumors, spinal infection, and lumbar spinal stenosis). Importantly, various age-related physical, psychological, and mental changes (e.g., spinal degeneration, comorbidities, physical inactivity, age-related changes in central pain processing, and dementia), as well as multiple risk factors (e.g., genetic, gender, and ethnicity), may affect the prognosis and management of LBP in older adults. Collectively, by understanding the impacts of various factors on the assessment and treatment of older adults with LBP, both clinicians and researchers can work toward the direction of more cost-effective and personalized LBP management for older people.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Low back pain in older adults: risk factors, management options and future directions

2017

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“…The PACSLAC-II items are organized per the six pain assessment domains that have been recommended by the AGS (AGS Panel, 2002). In their study, Chan et al (2014) found that the PACSLAC-II had good psychometric qualities (satisfactory internal consistency and interrater reliability, and good convergent and discriminant validity).…”

Section: Pacslacmentioning

confidence: 97%

“…The PACSLAC-II is a 31-item assessment scale which was recently developed by Chan et al (2014). The PACSLAC-II items were designed to include behaviors that had been shown to discriminate painful and non-painful states while minimizing overlap with behaviors that also occur in non-painful situations such as delirium.…”

Section: Pacslacmentioning

confidence: 99%

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

Ruest

Bourque

Laroche

et al. 2017

Pain Management Nursing

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Pain

Herr¹,

Gibson²,

Hadjistavropoulos³

2018

The Wiley Handbook on the Aging Mind and Brain

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Evidence-based Development and Initial Validation of the Pain Assessment Checklist for Seniors With Limited Ability to Communicate-II (PACSLAC-II)

Abstract: Findings indicate that the empirical and theoretically driven revisions to the PACSLAC led to improved ability to differentiate between pain and nonpain states, while retaining its clinical utility.

Cited by 75 publications

References 56 publications

Low back pain in older adults: risk factors, management options and future directions

Low back pain in older adults: risk factors, management options and future directions

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

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