Barthel index
The Barthel Index is a method of assessing a patient's everyday skills. It is used to systematically record independence and the need for care . The Barthel Index was developed in 1965 by Florence I. Mahoney and Dorothea W. Barthel in Baltimore , Maryland, USA, as an index of the independence of patients with neuromuscular or musculoskeletal disorders or limitations. It is used as part of a nursing assessment . Point values are distributed for part of the “ activities of daily living ”, whereby a minimum of 0 points (complete need for care) and a maximum of 100 points (independence) can be achieved.
Components of the Barthel Index
According to the system shown in the table, 0, 5, 10 or 15 points are awarded for all specified skills.
| Ability (item) | score |
|---|---|
| to eat and drink | 0, 5, 10 |
| Bathing / showering | 0, 5 |
| personal hygiene | 0, 5 |
| Dressing and undressing | 0, 5, 10 |
| Stool control | 0, 5, 10 |
| Urine control | 0, 5, 10 |
| Use of the toilet | 0, 5, 10 |
| Bed / chair transfer | 0, 5, 10, 15 |
| Mobility (independent walking / driving with a wheelchair) | 0, 5, 10, 15 |
| climb stairs | 0, 5, 10 |
Statement of the Barthel index
A Barthel index of 100 indicates that a patient is able to eat independently, move around and do personal hygiene . It is not a statement of whether someone can live alone, as aspects such as cooking, housekeeping and social aspects are not taken into account.
- "It is useful in evaluating a patient's state of independence before treatment, his progress as he undergoes treatment, and his status when he reaches maximum benefit."
Classifications
Statutory health insurance payers require a Barthel index of at least 50% as an entry requirement for a rehabilitation measure .
Expansion of the Barthel index
The Hamburg manual tried to operationalize the Barthel index to a greater extent. The individual points are defined more precisely in order to increase the informative value of a number of points. Furthermore, the Barthel index was supplemented by further items in the early rehabilitation area with regard to the need for ventilation, suction requirements, the presence of behavioral and orientation disorders that are subject to supervision and communication disorders (so-called "Extended Barthel Index" (EBI) or "Early Rehabilitation Barthel Index" (FRB ) according to Schönle), whereby these items each have a negative point value, so that a minimum point value of −325 points can be achieved.
literature
- F. Mahoney, D. Barthel: Functional evaluation: The Barthel Index. In: Maryland State Medical Journal, 1965, Issue 14, pp. 56-61.
Web links
Individual evidence
- ↑ Mahoney / Barthel, 1965, p. 65, quoted from the Hamburg classification manual for the Barthel index
- ↑ Hamburg classification manual for the Barthel index (PDF; 102 kB)
- ↑ PW Schönle: The Early Rehabilitation Barthel Index (FRB) - an early rehabilitation oriented extension of the Barthel Index. In: Rehabilitation 1995, Edition 34, pages 69-73