BioPsychoSocial Assessment Tools for the Elderly - Assessment Summary Sheet

Test: Pittsburgh Agitation Scale (PAS)

Year: 1994

Domain: Psychological

Assessment Tool Category: Dementia

Variations/Translations: N/A

Setting: Inpatient or nursing home setting

Method of Delivery: Direct observation done by clinical staff.

Description: The PAS assesses agitation for individuals with dementia. The scale focuses on four behaviour groups: aberrant vocalizations, motor agitation, aggressiveness and resisting care.

Scoring/Interpretation: Within each behavior grouping, the highest score reflects the most severe behavior. An improvement in a PAS score may indicate an improvement in a particular behavior group or in several of the behaviour groups assessed. Behaviours are measured on an intensity scale ranging from 0 (not present) -4 (extremely loud screaming or yelling, highly disruptive, unable to redirect).

Time to Administer: The scale takes less than 5 minutes to administer. Direct observation is necessary anywhere from 1 to 8 hours.

Availability: Contact author: Jules Rosen. Western Psychiatric Institute and Clinic. 3811 O’Hara Street. Pittsburgh. PA 15213. USA.

Software: N/A

Website: http://geridoc.net/pittsburghagitationscale.html

Quantitative/Qualitative: Quantitative

Validity (Quantitative): N/A

Reliability (Quantitative): Inter-rater reliability exceeded 0.80.

References:

Forester, B., & Oxman, T. (2003). Measures to Assess the Noncognitive Symptoms of Dementia in the Primary Care Setting. Journal of Clinical Psychiatry, 5(4), 158-163.

Rosen, J., Burgio, L., Kollar, M., Cain, M., Allison, M., Fogleman, M., Michael, M., & Zubenko, G. S. (1994). The Pittsburg Agitation Scale: a user-friendly instrument for rating agitation in dementia patients. American Journal of Geriatric Psychiarty, 2(1), 52-59.

Comments: N/A