Barthel Index

The Barthel scale or Barthel ADL index is an ordinal scale used to

measure performance in activities of daily living (ADL). Each
performance item is rated on this scale with a given number of points
assigned to each level or ranking. It uses ten variables describing ADL
and mobility. A higher number is associated with a greater likelihood
of being able to live at home with a degree of independence
following discharge from hospital. The amount of time and physical
assistance required to perform each item are used in determining the
assigned value of each item. External factors within the environment
affect the score of each item. If adaptations outside the standard
home environment are met during assessment, the participants
score will be lower if these conditions are not available. If
adaptations to the environment are made, they should be described
in detail and attached to the Barthel index.

The ten variables addressed in the Barthel scale are

presence or absence of fecal incontinence

presence or absence of urinary incontinence
help needed with grooming
help needed with toilet use
help needed with feeding
help needed with transfers (e.g. from chair to bed)
help needed with walking
help needed with dressing
help needed with climbing stairs
and help needed with bathing
Traducere
Barthel Index
Scara Barthel sau indicele Barthel ADL este o scal ordinal utilizat
pentru a msura performana n activitile de via zilnic (ADL).
Fiecare element de performan este evaluat pe aceast scal cu un
numr dat de puncte atribuite fiecrui nivel sau clasament. Utilizeaz
zece variabile care descriu ADL i mobilitatea. Un numr mai mare
este asociat cu o probabilitate mai mare de a putea tri la domiciliu
cu un grad de independen dup externarea din spital. Timpul i
asistena fizic necesare pentru a efectua fiecare element sunt
folosite pentru determinarea valorii atribuite fiecrui element.
Factorii externi din mediul nconjurtor afecteaz scorul fiecrui
element. Dac n timpul evalurii sunt ndeplinite adaptrile n afara
mediului de acomodare standard, scorul participantului va fi mai mic
dac aceste condiii nu sunt disponibile. Dac se fac adaptri la
mediul nconjurtor, acestea trebuie descrise n detaliu i ataate la
indicele Barthel.

Cele zece variabile abordate n scala Barthel sunt

prezena sau absena incontinenei fecale

prezena sau absena incontinenei urinare
ajutorul necesar pentru ngrijire
ajutor necesar cu folosirea toaletei
ajutor necesar pentru hrnire
ajutorul necesar cu transferuri (de exemplu, de la scaun la pat)
ajutorul necesar pentru mersul pe jos
ajutor necesar cu dressing
ajutor necesar cu scri de alpinism
i ajutorul necesar pentru scldat