The Barthel Scale/Index (BI) is an ordinal scale used to measure performance in activities of daily living (ADL) . Ten variables describing ADL and mobility are scored, a higher number being a reflection of greater ability to function independently following hospital discharge.
What does the modified Barthel Index measure?
Modified Barthel ADL index* Measure of physical disability used widely to assess behaviour relating to activities of daily living for stroke patients or patients with other disabling conditions . It measures what patients do in practice. Assessment is made by anyone who knows the patient well.
How do you do the Barthel Index?
Scoring of the Barthel is done through assignment of different values to different activities. Individuals are scored on 10/15 activities which are summed to give a score of 0 (totally dependent) to 100 (fully independent). The scores are designed to reflect the amount of time and assistance a patient requires.
Why was the Barthel Index created?
Purpose of the measure
The BI is a widely used measure of functional disability. The index was developed for use in rehabilitation patients with stroke . 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel .
Is the Barthel Index reliable?
Reliability and Validity
Correlated with a motor ability index, the Barthel Index was given a . 73 to . 77 rating . The Barthel Index was agreed to be a reliable instrument in foreseeing mortality and easy to use.
Who uses the Barthel Index?
The Barthel Index was developed to measure improvement in clients with chronic disability who were participating in rehabilitation (Table 5-2). BADL are assessed, including toileting, bathing, eating, dressing, continence, transfers, and ambulation.
What is an ADL score?
The ADL score is a component of the calculation for placement in RCS-I nursing groups. The ADL score is based upon the four “late loss” ADLs (bed mobility, transfer, toilet use, and eating), and this score indicates the level of functional assistance or support required by the resident .
What is a good Barthel score?
Proposed guidelines for interpreting Barthel scores are that scores of 0-20 indicate “total” dependency, 21-60 indicate “severe” dependency, 61-90 indicate “moderate” dependency, and 91-99 indicates “slight” dependency. 2 Most studies apply the 60/61 cutting point.
Is the Barthel Index free?
The Maryland State Medical Society holds the copyright for the Barthel Index. It may be used freely for non- commercial purposes with the following citation: Mahoney FI, Barthel D.
Who developed Barthel?
The BI was developed by Mahoney and Barthel in 1965 and is now widely used in rehabilitation. 10 activities are scored, and the values are added to give a total score from 0 (totally dependent) to 100 (completely independent). A modified version of the BI has been introduced (Colin et al, 1988).
How do you interpret a FIM score?
For example, a score of 1 indicates that a person needs total assistance with a task, while a score of 7 means a person can perform a task with complete independence. After all items have been assessed, a total FIM score is calculated. This score is a value that ranges between 18 and 126.
What is the Rivermead Mobility Index?
The Rivermead Mobility Index (RMI) is a hierarchical mobility scale used in neurological rehabilitation . It includes 15 items related to bed mobility, transfers, walking, stair use, and running.
What is a modified Rankin score of 3?
3: Moderate disability ; requiring some help, but able to walk without assistance. 4: Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance. 5: Severe disability; bedridden, incontinent and requiring constant nursing care and attention.
What is instrumental activities of daily living?
Instrumental activities of daily living (IADLs) are things you do every day to take care of yourself and your home . They are one way to measure how well you can live on your own. While activities of daily living (ADLs) are basic self-care tasks like bathing, IADLs require more complex planning and thinking.
What does the Stroke Impact Scale measure?
The Stroke Impact Scale (SIS) assesses other dimensions of health related quality of life : emotion, communication, memory and thinking, and social role function.
What therapy service will help the patient relearn self care activities after a stroke?
3. Occupational Therapy . Occupational therapists or rehabilitation nurses can help stroke survivors relearn some of the skills they will need to care for themselves after a stroke. Rehabilitation nurses may help stroke survivors manage their personal care, such as bathing and washing.
