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C E van 't Hof, S M G Zwakhalen, J P H Hamers

    Tijdschrift Voor Gerontologie En Geriatrie
    |December 4, 2012
    PubMed
    Summary
    This summary is machine-generated.

    Pain assessment in dementia patients using the PACSLAC-D scale showed high compliance, but interventions were infrequently applied. Non-pharmacological methods were most common when interventions did occur.

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    Area of Science:

    • Gerontology
    • Nursing
    • Dementia Care

    Background:

    • Pain is prevalent in nursing home residents with dementia.
    • Structured pain assessment may improve pain diagnosis and management.
    • The observational pain scale, PACSLAC-D, is designed for this population.

    Purpose of the Study:

    • To evaluate interventions applied after diagnosing pain in nursing home residents with dementia using the PACSLAC-D.
    • To assess the feasibility and utility of the PACSLAC-D implementation in a psychogeriatric ward.

    Main Methods:

    • A pilot study involving 22 residents in a psychogeriatric nursing home ward over six weeks.
    • Pain was assessed twice weekly using the PACSLAC-D.
    • Interventions following pain scores were recorded, and the implementation was evaluated.

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    Main Results:

    • 90% compliance with scheduled PACSLAC-D measurements.
    • Sixty observations resulted in a pain score.
    • A pain score did not always lead to intervention (17 out of 39 recorded scores).
    • When interventions occurred, they were predominantly non-pharmacological (19 instances).

    Conclusions:

    • The PACSLAC-D was perceived as useful by staff.
    • High compliance was observed, but pain-relieving interventions were not consistently applied.
    • The twice-weekly standardized measurement schedule requires optimization.