agreement between rater 1 and 2 were average with 0.89percentage of 60 items on the scale. The Pearson correlation coeffient score (0.83) demonstrated a strong inter rater reliability of PACSLAC (p<0.00) of the Doloplus-2 scale after 1 year demonstrated a notable decrease in symptoms of pain. This study marked the importance of pain management by using an observational pain assessment tool for the patients with advanced dementia who are unable to self-report. The study results emphasised that the Doloplus-2 scale is strong enough to identify pain in patients with severe cognitive impairment. The nurses reported that this scale is handy to use in daily practice, but may be more suitable for people in care homes. The limitation of the study
