Download Barthel Index of Activities of Daily Living and more Lecture notes Personal Health in PDF only on Docsity! Health i Alberta Health @ Services @ Covenant Barthel Index of Activities of Daily Living Instructions: Choose the scoring point for the statement that most closely corresponds to the patient's current level of ability for each of the following 10 items. Record actual, not potential, functioning. Information can be obtained from the patient's self-report, from a separate party who is familiar with the patient's abilities (such as a relative), or from observation. Refer to the Guidelines section on the following page for detailed information on interpretation. The Barthel Index Bowels 0 = incontinent (or needs to be given enemata) 1 = occasional accident (once/week) 2 = continent Patient's Score:___ Bladder 0 = incontinent, or catheterized and unable to manage 1 = occasional accident (max once per 24 hours) 2 = continent (for over 7 days) Patient's Score:___ Grooming 0 = needs help with personal care 1 = independent face/hair/teeth/shaving (implements provided) Patient's Score:___ Toilet Use 0 = dependent 1 = needs some help, but can do something alone 2 = independent (on and off, dressing, wiping) Patient's Score:___ Feeding 0 = unable 1 = needs help cutting, spreading butter, etc. 2 = independent (food provided within reach) Patient's Score: Transfer 0 = unable — no sitting balance 1 = major help (one or two people, physical), can sit 2 = minor help (verbal or physical) 3 = independent Patient's Score:____ Mobility 0 =immobile 1 = wheelchair independent, including corners, etc. 2 = walks with help of one person (verbal or physical) 3 = independent (but may use any aid, e.g., stick) Patient's Score:____ Dressing 0 = dependent 1 = needs help, but can do about half unaided 2 = independent (including buttons, zips, laces, etc.) Patient's Score:____ Stairs 0=unable 1 = needs help (verbal, physical, carrying aid) 2 =independent up and down Patient's Score:____ Bathing 0 = dependent 1 = independent (or in shower) Patient's Score: Total Score: Scoring: Sum the patient's scores for each item. Total possible scores range from 0 — 20, with lower scores indicating increased disability. If used to measure improvement after rehabilitation, changes of more than two points in the total score reflect a probable genuine change, and change on one item from fully dependent to independent is also likely to be reliable.
