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Barthel index

Indications: 1) assess ability for self-care 2) used in rehabilitation 3) most appropriate tool for assessing impairments in bADL [4] Scoring: 1) items are weighted according to the extent of physical assistance required if unable to carry out function 2) 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.

General

performance scale functional assessment

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
  4. 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: 30448338