Figure 1

CONTINENCE ASSESSMENT NURSES' Guide (CAN-Guide)
Spina Bifida Center - St. Michael Hospital, Milwaukee, WI

Directions: Answers may be recorded either on CAN-Guide (circle responses) or on the separate Continence Assessment Nurses' Outcome Record (CANOR). Use only the items relevant to the patient's condition. The scale is ranked 1-5, with 5 being the "best" or "most favorable" function. Circle the number on CAN-Guide or enter the number on CANOR which most accurately describes the patient's usual patterns. Sometimes two numbers may be circled or entered and their average will be recorded. CAN-Guide may be hole-punched to put directly into a patient's chart. CANOR was designed to be used for scoring at follow-up visits. It is a valuable tool to do serial tracking of patient treatment outcomes.

Usual Bladder Patterns 1.1 Sensation to Fullness 1. No feeling of fullness 2. Feels fullness only at capacity 3. Feels moderate sensation before capacity 4. Feels some gradual sensation before reaching capacity 5. Feels increasing sensation before, then strong sensation at capacity 1.2 Voiding Ability 1. No spontaneous voiding 2. Dribbles 3. Spurts 4. Stream in toilet, (wet between toileting) 5. Stream in toilet, (dry between toileting) 1.3 Controlled Voiding Based on Urge 1. Never 2. Sometimes (25%) 3. Half the time (50%) 4. Usually (75%) 5. Always 1.4 Catheterization Frequency per Day 1. Five times 2. Four times 3. Three times 4. One to two times 5. Not catheterized 1.5 Basis for Catheterization 1. No consistent approach 2. 3. Timed schedule 4. 5. Feeling of fullness 1.6 Urinary Dryness When Sedentary 1. Always wet 2. Usually wet (75% of the time) 3. Sometimes wet (50% of the time) 4. Usually dry (75% of the time) 5. Always dry

1.7 Condition of Pads/Diapers When Sedentary 1. Soaked 2. Very wet 3. Moderately wet 4. Damp 5. Dry 1.8 Urinary Dryness When Active (transfers, gym, sports) 1. Always wet 2. Usually wet (75% of the time) 3. Sometimes wet (50% of time) 4. Usually dry (75% of the time) 5. Always dry 1.9 Condition of Pads/Diapers When Active 1. Soaked 2. Very wet 3. Moderately wet 4. Damp 5. Dry 1.10 Number of Pads/Diapers Used Daily 1. More than six 2. Five to six 3. Three to four 4. One to two 5. None 1.11 Absorbency of Pad/Diaper Used 1. Super absorbency 2. 3. Medium absorbency 4. 5. Light absorbency 1.12 Frequency of Daily Clothing Change Related to Urine 1. Four or more times 2. Three times 3. Two times 4. One time 5. None

(Page 1 of 6. To obtain more information about CAN-Guide please call (414) 527-8556 and ask for Karen Rauen.)