| ARCHETYPE ID | openEHR-EHR-OBSERVATION.barthel.v1 |
|---|---|
| Concept | Barthel Index |
| Description | Barthel index of dependency in activities of daily living. |
| Use | For scoring people's independence - often in a nursing home. Note: 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. “Functional evaluation: the Barthel Index.” Maryland State Med Journal 1965;14:56-61. Used with permission. Permission is required to modify the Barthel Index or to use it for commercial purposes. |
| Misuse | Not to be used to record individual features. |
| Purpose | To record a score of dependency on help to undertake important activities of daily living. The total score is the sum of the ordinal scores for each attribute. |
| References | Mahoney FI, Barthel D. Functional evaluation: the Barthel Index. Maryland State Med Journal 1965;14:56-61. |
| Copyright | copyright (c) 2010 openEHR Foundation |
| Authors | Author name: Sam Heard Organisation: Ocean Informatics Email: sam.heard@oceaninformatics.com Date originally authored: 22/03/2006 |
| Other Details Language | Author name: Sam Heard Organisation: Ocean Informatics Email: sam.heard@oceaninformatics.com Date originally authored: 22/03/2006 |
| Other Details (Language Independent) |
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| Keywords | score, index, activities, daily living, dependency |
| Lifecycle | Initial |
| Language used | en |
| Citeable Identifier | 1013.1.128 |
| events | |
| Any event | Any event: Any timing point |
| data | |
| Continence of bowels | Continence of bowels: Over the previous week, occasional accident is once per week. 0: Incontinent (or requires enemas) [Incontinent of faeces or requires enemas.] 1: Occasional accident [Less than or equal to once per week.] 2: Continent [Continent of faeces.] |
| Bladder control | Bladder control: Assessment of urinary control over the previous week, occasional accident <= 1 time per week. 0: Incontinent (or unable to manage catheter) [Incontinent of urine or catheterised.] 1: Occasional accident [Less than or equal to once per week.] 2: Continent (manages catheter alone) [Continent includes self management of catheter.] |
| Personal care/hygeine | Personal care/hygeine: Ability over the previous 24-48 hours to attend to personal hygiene such as brushing teeth, shaving and washing. 0: Needs help [Needs help with personal care.] 1: Independent [Able to brush teeth, hair, wash face, shave.] |
| Toilet use | Toilet use: Ability to use toilet over the previous 48 hours. 0: Dependent [*] 1: Needs some help but can do some tasks alone [*] 2: Independent (on & off, dressing, wiping) [*] |
| Eating | Eating: Ability to eat food. 0: Unable to eat unassisted [Requires manual feeding.] 1: Needs help [Requires help cutting, spreading butter or requires modified diet - able to eat alone.] 2: Independent [Able to eat alone.] |
| Transfer | Transfer: Ability to get up from a bed or chair. 0: Unable [No sitting balance, a lifting device is used.] 1: Major help [A strong trained person or 2 people required, patient can sit straight.] 2: Minor help [A person is required for supervision or some help.] 3: Independent [*] |
| Mobility | Mobility: Ability to get about the house or institution. 0: Immobile or < 50 meters [Person can get less than 50 metres in wheelchair.] 1: Wheel chair independent [Person can negotiate corners and cover distances of greater than 50 meters.] 2: Walks with help [Person walks with assistance of one (untrained person) with physical or verbal assistance.] 3: Independent [Person can use any aid (not wheelchair) around the house or ward.] |
| Dressing/undressing | Dressing/undressing: Ability to choose clothes, put them on and fasten them. 0: Dependent [Requires assistance choosing and putting on clothes.] 1: Needs help but can do about half unaided [Needs help only with buttons, zippers but can put on clothes unaided.] 2: Independent [No help required when getting in and out of the bath or when washing.] |
| Stairs | Stairs: Ability to negotiate stairs. 0: Unable [Unable to use stairs.] 1: Needs help [Verbal, physical or other assistance.] 2: Independent [Can carry aid alone if required.] |
| Bathing | Bathing: Independent = without supervision or help when getting in and out of the bath and when washing. 0: Dependent [Needs assistance with baths or showers.] 1: Independent [No help required when getting in and out of the bath or when washing.] |
| Total | Total: Total score of the 10 elements of the Bartel index. A score of 0-9 indicates high dependency, 10-19 moderate dependency and 20 is independent. min: >=0; max: <=20 |
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