Implementing and sustaining evidence-based practices in long-term care.

Assessment Tools

Braden Scale for Predicting Pressure Sore Risk - RNAO Appendix C

This tool uses six categories (sensory perception, moisture, activity, mobility, nutrition, and friction or shear) to provide a numerical score indicating the resident's risk for developing pressure ulcers. © Copyright Barbara Braden and Nancy Bergstrom, 1988. All rights reserved

Reference: Barbara Braden and Nancy Bergstrom (1988). Braden Scale for Predicting Pressure Sore Risk. Retrieved from website:

Appendix C of RNAO Best Practice Guideline - Assessment and Management of Stage I to IV Pressure Ulcers

Dehydration Risk Appraisal Checklist

A one time, single resident risk assessment for dehydration based of the University of Iowa Dehydration BPG.


Mentes, J. C. & The Iowa Veterans Affairs Nursing Research Consortium. (2004). Evidence-Based Practice Guideline: Hydration management. Iowa City, IA: The University of Iowa Gerontological Nursing Interventions Research Center Research Translation and Dissemination Core.

Mentes, J. C. & Iowa-Veterans Affairs Research Consortium. (2000). Hydration management. Journal of Gerontological Nursing, 6-15.

Transdisciplinary Patient/Client Bowel Assessment Tool - RNAO

A detailed, 5 page assessment of bowel continence issues that can be completed by a patient. Treatment options are suggested and a client record sheet is included.

Reference: Registered Nurses’ Association of Ontario (2006). Transdisciplinary Patient/Client Continence Assessment Tool. Toronto, Canada: Registered Nurses’ Association of Ontario.

Retrieved from:

7-Day Bowel Record

A bowel movement record that captures bowel movements (BMs), incontinence, laxative use, and toileting method over a 7-day period.

Adapted from: Ontario Association of Non-Profit Homes and Services for Seniors. (2005). A Resource Guide for Long Term Care Homes: Skin and Wound Care, Continence Care, Nutrition and Hydration. Woodbridge, Canada: Ontario Association of Non-Profit Homes and Services for Seniors

Bowel and Bladder Continence Assessment

A comprehensive assessment of bladder and bowel function for LTC residents developed by the LTC BPC Project with Toronto Best Practice Steering Committee and Northwest Continence Collaborative (2005). Includes list of medications that affect continence and treatment options.

Reference: Toronto Best Practice Committee and Northwest Continence Collaborative (2006). Bladder & Bowel Continence Assessment.. Toronto.

Sources: AHCPR. 2006. Urinary Incontinence. ; Brigham & Women’s Hospital. 2004, Urinary incontinence ; The Hartford Institute for Geriatric Nursing. 2001. Urinary incontinence. ; IC-5 Continence Project, 2005,  Rehabilitation Nursing Foundation. 2002. Constipation. ; RNAO. 2005, Preventing Constipation; Prompting Continence.  ; Royal Women’s Hospital. 2005. Urinary incontinence,  ; Singapore Ministry of Health. 2003,  U.S. National Library of Medicine and U.S. National Institute of Health. 2006. Drugs, supplements. < 


Subscribe to RSS - Assessment Tools