Care and Needs Scale (CANS)

Tate (2003/2017)
Date: Client Name: Age: MRN: Assessed by:

Needs Checklist: Type of care and support need Length of time that client can be left alone?
CANS
Tick yes or no Comments * The CANS level must be in line with highest group
LEVEL*
(A, B, C, D) endorsed YES in Needs Checklist (left column)
GROUP A: Requires nursing care and/or support or monitoring of severe behavioural/cognitive disabilities and/or assistance with very basic ADLs:
1. Tracheostomy management Yes □ No □ Circle 7 Cannot be left alone – needs support 24 hours per day
2. Nasogastric/PEG feeding Yes □ No □ 6 Can be left alone for a few hours
3. Bed mobility (e.g., turning) Yes □ No □ – needs support 20-23 hours per day
7
4. Wanders/gets lost Yes □ No □ 5 Can be left alone for part of the day, but not overnight
5. Exhibits behaviours with potential to harm self/others Yes □ No □ 6 – needs support 12-19 hours per day
6. Difficulty communicating basic needs Yes □ No □ 5 4 Can be left alone for part of the day and overnight
7. Continence Yes □ No □ – needs support up to 11 hours per day
4.3
8. Eating and drinking Yes □ No □ Note: there are 3 sub-divisions 4.3, 4.2 and 4.1 that
9. Transfers/mobility (incl. stairs and indoor surfaces) Yes □ No □ correspond to groups A, B and C respectively in the
10. Other (specify): Yes □ No □ Needs Checklist.
GROUP A subtotal ___ / 10 3 Can be left alone for a few days a week
GROUP B: Requires assistance, supervision, direction and/or cueing for basic ADLs: – needs support a few days a week
11. Personal hygiene/toileting Yes □ No □ 2 Can be left alone for almost all week
12. Bathing/dressing Yes □ No □ – needs support at least once a week
4.2
13. Preparation of light meal/snack Yes □ No □ 1 Can live alone, but needs intermittent support i.e. less
14. Other (specify): Yes □ No □ than weekly
GROUP B subtotal ___ / 4 0 Does not need support – can live in the community,
GROUP C: Requires assistance, supervision, direction and/or cueing for instrumental ADLs and/or social participation: totally independently with or without aids (e.g., hand
15. Shopping Yes □ No □ rails, diary, notebooks) and allowing for the usual
16. Domestic incl. preparation of main meal Yes □ No □ kinds of informational and emotional supports the
17. Medication use Yes □ No □ average person uses in everyday life.
18. Money management Yes □ No □ 4.1
19. Everyday devices (e.g., telephone, television) Yes □ No □ Additional relevant information:
3
20. Transport and outdoor surfaces Yes □ No □
21. Parenting skills Yes □ No □ 2
22. Interpersonal relationships Yes □ No □ 1
23. Leisure and recreation Yes □ No □
24. Employment/study Yes □ No □
25. Other (specify): Yes □ No □
GROUP C subtotal ___ / 11
GROUP D: Requires supports:
26. Informational supports (e.g., advice) Yes □ No □ 3
27. Emotional supports Yes □ No □ 2
28. Other (specify): Yes □ No □ 1
GROUP D subtotal ___ / 3
GROUP E: Does not require supports: 0
Sum the total number of items endorsed as YES
Enter CANS Level
GROUP A + GROUP B + GROUP C + GROUP D = ___ / 28