Barthel Index of activities of daily living
Independence in 10 basic activities (0–100).
Inputs
CompleteFeeding
Bathing
Grooming
Dressing
Bowels
Bladder
Toilet use
Transfers (bed to chair and back)
Mobility on level surfaces
Stairs
Worked calculation
Your values are highlighted.
- Points
Feeding +10, Bathing +5, Grooming +5, Dressing +10, Bowels +10, Bladder +10, Toilet use +10, Transfers (bed to chair and back) +15, Mobility on level surfaces +15, Stairs +10= 100
When to use
- Rehabilitation and discharge planning.
Pearls and pitfalls
- Score what the patient does, not what they could do.
Why use
Widely used functional outcome.
| Criterion | Points |
|---|---|
| Feeding: Unable | 0 |
| Needs help cutting or spreading | +5 |
| Independent | +10 |
| Bathing: Dependent | 0 |
| Independent | +5 |
| Grooming: Needs help | 0 |
| Independent (face, hair, teeth, shaving) | +5 |
| Dressing: Dependent | 0 |
| Needs help, does about half | +5 |
| Independent | +10 |
| Bowels: Incontinent | 0 |
| Occasional accident | +5 |
| Continent | +10 |
| Bladder: Incontinent or catheterized and unable to manage | 0 |
| Occasional accident | +5 |
| Continent | +10 |
| Toilet use: Dependent | 0 |
| Needs some help | +5 |
| Independent | +10 |
| Transfers (bed to chair and back): Unable | 0 |
| Major help, can sit | +5 |
| Minor help | +10 |
| Independent | +15 |
| Mobility on level surfaces: Immobile or under 50 yards | 0 |
| Wheelchair independent over 50 yards | +5 |
| Walks with help over 50 yards | +10 |
| Independent over 50 yards (may use aid) | +15 |
| Stairs: Unable | 0 |
| Needs help | +5 |
| Independent | +10 |