Post-Acute Level Of Consciousness Scale Revised (PALOC-sr): Modification of a Scale for Classifying Level of Consciousness in Patients With Long-Term Disorder of Consciousness
Eilander, H. J., van Erp, W. S., Driessen, D. M. F., Overbeek, B. U. H., & Lavrijsen, J. C. M.
26 April 2022Abstract
Objective
To present an updated version of the 'Post-acute Level Of Consciousness scale' (PALOC-s), in accordance with the latest scientific insights.
Methods
As part of a research project, the PALOCs were developed 20 years ago with the aim of monitoring the development of the level of consciousness of young unconscious patients participating in a rehabilitation program. Meanwhile, the understanding of behavior in relation to different levels of consciousness has developed and the terminology has changed, leading to the need to revise the PALOC-s. While maintaining the original description of the eight hierarchical levels of PALOCs, adjustments have been made to the terminology and grouping of these levels.
Results and conclusion
This manuscript presents the revised version of PALOC-sr, which is suitable for use in clinical practice. The validation of this scale is recommended for its optimal use in future (international) research projects.