Barthel Index of Activities of Daily Living – ADL

Geriatrics
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Barthel Index of Activities of Daily Living

[select name="bowels" value="0|1|2"] <-- Bowels
0 = incontinent (or needs to be given enemas)
1 = occasional accident (once/week)
2 = continent

[select name="bladder" value="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)

[select name="grooming" value="0|1"] <-- Grooming
0 = needs help with personal care
1 = independent face/hair/teeth/shaving (implements provided)

[select name="toilet" value="0|1|2"] <-- Toilet use
0 = dependent
1 = needs some help, but can do something alone
2 = independent (on and off, dressing, wiping)

[select name="feeding" value="0|1|2"] <-- Feeding
0 = unable
1 = needs help cutting, spreading butter, etc.
2 = independent (food provided within reach)

[select name="transfer" value="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

[select name="mobility" value="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)

[select name="dressing" value="0|1|2"] <-- Dressing
0 = dependent
1 = needs help, but can do about half unaided
2 = independent (including buttons, zips, laces, etc.)

[select name="stairs" value="0|1|2"] <-- Stairs
0 = unable
1 = needs help (verbal, physical, carrying aid)
2 = independent up and down

[select name="bathing" value="0|1"] <-- Bathing
0 = dependent
1 = independent (or in shower)

Total Score --> [calc memo="number" value="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.
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: <a href="http://www.ncbi.nlm.nih.gov/pubmed/3403500" target="_blank">Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study. Int Disabil Stud. 1988;10(2):61-63. </a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed/14258950" target="_blank">Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J. 1965;14:61-65. </a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed/3042746" target="_blank">Wade DT, Collin C. The Barthel ADL Index: a standard measure of physical disability? Int Disabil Stud. 1988;10(2):64-67. </a>[/html][/conditional]
Barthel Index of Activities of Daily Living

<-- Bowels
0 = incontinent (or needs to be given enemas)
1 = occasional accident (once/week)
2 = continent

<-- Bladder
0 = incontinent, or catheterized and unable to manage
1 = occasional accident (max. once per 24 hours)
2 = continent (for over 7 days)

<-- Grooming
0 = needs help with personal care
1 = independent face/hair/teeth/shaving (implements provided)

<-- Toilet use
0 = dependent
1 = needs some help, but can do something alone
2 = independent (on and off, dressing, wiping)

<-- Feeding
0 = unable
1 = needs help cutting, spreading butter, etc.
2 = independent (food provided within reach)

<-- Transfer
0 = unable – no sitting balance
1 = major help (one or two people, physical), can sit
2 = minor help (verbal or physical)
3 = independent

<-- 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)

<-- Dressing
0 = dependent
1 = needs help, but can do about half unaided
2 = independent (including buttons, zips, laces, etc.)

<-- Stairs
0 = unable
1 = needs help (verbal, physical, carrying aid)
2 = independent up and down

<-- Bathing
0 = dependent
1 = independent (or in shower)

Total Score --> numberscore1=(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.

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Result - Copy and paste this output:

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