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Barthel Index of Activities of Daily Living
Dec 21, 2024
•
Mark Morgan
categories:
geriatrics
This is calculator for activities of daily living.
Barthel Index of Activities of Daily Living
0
1
2
<-- Bowels
0 = incontinent (or needs to be given enemas)
1 = occasional accident (once/week)
2 = continent
0
1
2
<-- Bladder
0 = incontinent, or catheterized and unable to manage
1 = occasional accident (max. once per 24 hours)
2 = continent (for over 7 days)
0
1
<-- Grooming
0 = needs help with personal care
1 = independent face/hair/teeth/shaving (implements provided)
0
1
2
<-- Toilet use
0 = dependent
1 = needs some help, but can do something alone
2 = independent (on and off, dressing, wiping)
0
1
2
<-- Feeding
0 = unable
1 = needs help cutting, spreading butter, etc.
2 = independent (food provided within reach)
0
1
2
3
<-- Transfer
0 = unable – no sitting balance
1 = major help (one or two people, physical), can sit
2 = minor help (verbal or physical)
3 = independent
0
1
2
3
<-- 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)
0
1
2
<-- Dressing
0 = dependent
1 = needs help, but can do about half unaided
2 = independent (including buttons, zips, laces, etc.)
0
1
2
<-- Stairs
0 = unable
1 = needs help (verbal, physical, carrying aid)
2 = independent up and down
0
1
<-- Bathing
0 = dependent
1 = independent (or in shower)
Total Score -->
number
score1=(bowels)+(bladder)+(grooming)+(toilet)+(feeding)+(transfer)+(mobility)+(dressing)+(stairs)+(bathing)
/ 20
Interpretation Lower scores indicate 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.
display/hide references
reference:
#1
Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study. Int Disabil Stud. 1988;10(2):61-63.
#2
Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J. 1965;14:61-65.
#3
Wade DT, Collin C. The Barthel ADL Index: a standard measure of physical disability? Int Disabil Stud. 1988;10(2):64-67.
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