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10-Item Modified Barthel Index: Assessing Patient Independence, Schemes and Mind Maps of Nursing

The 10-item modified barthel index is a tool used to evaluate a patient's degree of independence in daily living activities. This index includes parameters such as bowels and bladder control, grooming, toilet use, feeding, transfer, mobility, dressing, stairs, and bathing. The guidelines suggest recording what the patient does rather than what they could do, and scoring is based on the best available evidence. The minimum score is 0, and the maximum score is 20.

Typology: Schemes and Mind Maps

2021/2022

Uploaded on 09/12/2022

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The 10-Item Modified Barthel Index
Overview: 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:
• this should record what the patient does rather than what the patient could do
• the need for supervision indicates that the patient is not independent
• answers should be based on the best available evidence but direct observation is not required
• 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 0
pf2

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The 10-Item Modified Barthel Index

Overview: 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:

  • this should record what the patient does rather than what the patient could do
  • the need for supervision indicates that the patient is not independent
  • answers should be based on the best available evidence but direct observation is not required
  • 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

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

unable; no sitting balance; need two people 0

to lift

mobility independent but may make use of a walking aid

walks with the help of one person (verbal or physical)

wheelchair independent 1

immobile 0

dressing independent (including buttons zips laces etc.)

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

needs help (verbal physical carrying aid) 1

unable 0

bathing independent; must get in and out unsupervised and wash self

dependent 0

modified Barthel Index = SUM(points for all 10 items)

Interpretation:

  • minimum score: 0
  • maximum score: 20

References:

McDowell I Newell C. Measuring Health - A Guide to Rating Scales and Questionnaires Second Edition. Oxford University Press. 1996. pages 56-