Barthel index
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Indications
- assess ability for self-care
- used in rehabilitation
- most appropriate tool for assessing impairments in bADL[4]
Scoring:
- items are weighted according to the extent of physical assistance required if unable to carry out function
- task is scored whether the ability is intact, limited or a helper is needed
| Activity* | independent | needs help | |
|---|---|---|---|
| feeding | 10 | 5 | |
| moving from wheelchair to bed | 15 | 5-10 | |
| personal toilet | 5 | 0 | |
| getting on & off toilet | 10 | 5 | |
| bathe self | 5 | 0 | |
| walking on level surface | 15 | 10 | |
| ascend & descend stairs | 10 | 5 | |
| dressing | 10 | 5 | |
| controlling bowels | 10 | 5 | |
| controlling bladder | 10 | 5 |
Activities rated by examiner
Total possible score: 100
Discharge to home very unlikely with score < 29 & very likely with score > 60
More general terms
References
- ↑ Pearson, V. In: Assessing Older Persons, Kane & Kane (eds), Oxford University Press, 2000
- ↑ Mahoney & Barthel, Maryland State Med J 14:61, 1965
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015
- ↑ 4.0 4.1 Bouwstra H, Smit EB, Wattel EM Measurement Properties of the Barthel Index in Geriatric Rehabilitation. J Am Med Dir Assoc. 2019 Apr;20(4):420-425.e1. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30448338