Barthel Index

Instructions

Choose the scoring point for the statement that most closely corresponds to the patient's current level of ability for each of the following 10 items. Record actual, not potential, functioning. Information can be obtained from the patient's self-report, from a separate party who is familiar with the patient's abilities (such as a relative), or from observation. Refer to the Guidelines section on the following page for detailed information on scoring and interpretation.

The Barthel Index

The Barthel ADL Index: Guidelines

• The index should be used as a record of what a patient does, not as a record of what a patient could do.
• The main aim is to establish the degree of independence from any help, physical or verbal, however minor and for whatever reason.
• The need for supervision renders the patient not independent.
• A patient's performance should be established using the best available evidence. Asking the patient, friends/relatives and nurses are the usual sources
• Direct observation and common sense are also important. However direct testing is not needed.
• Usually the patient's performance over the preceding 24-48 hours is important, but occasionally longer periods will be relevant.
• Middle categories imply that the patient supplies over 50 per cent of the effort.
• Use of aids to be independent is allowed