Primary Care Resources - Bowel & Bladder

This resource provides a 7 day record that captures bowel movements (BMs), incontinence, laxative use, and toileting methods. 1 Page.

A self assessment tool to be filled in by patients to screen for urinary incontinence exploring medical history, lifestyle factors, type and amount of fluid intake, activities linked to leakage, and treatments tried to obtain a more comprehensive summary of the level, impact and perceived cause of symptoms of incontinence. 5 Pages.

The ICIQ-UI Short Form provides a brief and robust measure to assess the impact of symptoms of incontinence on quality of life and outcome of treatment. This short and simple questionnaire is also of use to general practitioners and clinicians to screen for incontinence, to obtain a brief yet comprehensive summary of the level, impact and perceived cause of symptoms of incontinence and to facilitate patient-clinician discussions. 1 page. This paper identifies the purpose and intended use of the patient completed questionnaire which measures and assesses the impact of symptoms of incontinence on outcome. 2 pages.

The self assessment form provides a brief measure to assess the impact of symptoms of incontinence on quality of life including activities, relationships and feelings to facilitate patient-clinician discussions. 1 Page.

This chart is used to classify feces into seven types, based on their appearance as seen in the toilet water. 1 Page.