Barthel index

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Indications

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

  1. Pearson, V. In: Assessing Older Persons, Kane & Kane (eds), Oxford University Press, 2000
  2. Mahoney & Barthel, Maryland State Med J 14:61, 1965
  3. Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015