The 10-item modified Barthel Index is intended to establish the degree of independence of the patient from any help, however minor and for whatever purpose.
Guidelines to completing:
(1) this should record what the patient does, rather than what the patient could do
(2) the need for supervision indicates that the patient is not independent
(3) answers should be based on the best available evidence, but direct observation is not required
(4) a patient who is unconscious is scored "0" throughout even if not yet incontinent
|
Parameter |
Finding |
Points |
|---|---|---|
|
bowels (preceding week) |
continent |
2 |
|
|
occasional accident (once a week) |
1 |
|
|
incontinent (or needs to be given enemas) |
0 |
|
bladder (preceding week) |
continent |
2 |
|
|
occasional accident (once per 24 hours) |
1 |
|
|
incontinent, or catheterized and unable to manage |
0 |
|
grooming (preceding 24 - 48 hours) |
independent |
1 |
|
|
needs help |
0 |
|
toilet use |
independent |
2 |
|
|
needs some help |
1 |
|
|
dependent |
0 |
|
feeding |
independent |
2 |
|
|
needs help |
1 |
|
|
unable |
0 |
|
transfer (from bed to chair and back) |
independent |
3 |
|
|
minor help (verbal or physical) |
2 |
|
|
major help (one or two persons, physical), can sit |
1 |
|
|
unable; no sitting balance; need two people to lift |
0 |
|
mobility |
independent, but may make use of a walking aid |
3 |
|
|
walks with the help of one person (verbal or physical) |
2 |
|
|
wheelchair independent |
1 |
|
|
immobile |
0 |
|
dressing |
independent (including buttons, zips, laces, etc.) |
2 |
|
|
needs help, but can do about half unaided |
1 |
|
|
dependent |
0 |
|
stairs |
independent up and down; must carry any walking aid used to be independent |
2 |
|
|
needs help (verbal, physical, carrying aid) |
1 |
|
|
unable |
0 |
|
bathing |
independent; must get in and out unsupervised, and wash self |
1 |
|
|
dependent |
0 |
modified Barthel Index =
= SUM(points for all 10 items)
Interpretation:
• minimum score: 0
• maximum score: 20
Purpose: To identify the independence of a patient from any form of help using the modified 10-item Barthel Index.
Specialty: Sports Medicine & Rehabilitation
Objective: quality of life
ICD-10: I60, I61, I62, I63, I64,
