Modified Barthel ADL index* Measure of physical disability used widely to assess behaviour relating to activities of daily living for stroke patients ...
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Issue Number 2, October 1998 Series Editor: Meredith Wallace, PhD, RN, MSN, CS Katz Index of Independence in Activities of Daily Living
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ACTIVITIES OF DAILY LIVING (ADL) DECLINE The Guide to Physical Therapist Practice “defines disability broadly as the inability or restricted ability to perform actions,
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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. Bowels 0 = Incontinent or needs enemas 1 = Occasional accident (1x/wk) 2 = Continent Bladder 0 = Incontinent or needs enemas 1 = Occasional accident (1x/wk) 2 = Continent
Grooming 0 = Needs help with personal care 1 = Independent (including face, hair, teeth, shaving Toilet Use 0 = Independent Dependent Dependent 1 = Needs some help 2 = Independent Feeding 0 = Unable 1 = Needs help, e.g. cutting 2 = Independent
Transfer (bed to chair and back) 0 = Unable, no sitting balance 1 = Major help (1 or 2 people), can sit 2 = Minor help (verbal or physical) 3 = Independent Mobility 0 = Immobile 1 = Wheelchair independent (including corners) 2 = Walks with the help of 1 person (physical or verbal help) 3 = Independent (may use aid) Dressing 0 = Dependent 1 = Needs help – can do ~ ½ unaided 2 = Independent (including buttons, zips, laces, etc.) Stairs 0 = Unable 1 = Needs help (verbal or physical) 2 = Independent Bathing 0 = Dependent 1 = Independent (bath or shower)
Note
<15 – usually represents moderate disability <10 – usually represents severe disability Reference: Oxford Handbook of General Practice 3rd Edition