cliot (version 1.0.0)

barthel_index_adl: Barthel Index for Activities of Daily Living (ADL)

Description

Calculates the Barthel Index to assess a patient's performance in activities of daily living (ADL). The index measures the degree of assistance required by an individual on 10 items of mobility and self-care. A higher score indicates greater independence.

Usage

barthel_index_adl(feeding, bathing, grooming, dressing, bowels, bladder,
                  toilet_use, transfers, mobility, stairs)

Value

A list containing:

Barthel_Index_Score

The calculated total score (Range 0-100).

Dependency_Level

Interpretation of the score (Total, Severe, Moderate, Slight Dependence, or Independence).

Arguments

feeding

Numeric. 0 = Unable, 5 = Needs help cutting/spreading butter, 10 = Independent.

bathing

Numeric. 0 = Dependent, 5 = Independent (or in shower).

grooming

Numeric. 0 = Needs help, 5 = Independent face/hair/teeth/shaving.

dressing

Numeric. 0 = Dependent, 5 = Needs help but can do ~50%, 10 = Independent (including buttons/zips/laces).

bowels

Numeric. 0 = Incontinent (or needs enema), 5 = Occasional accident, 10 = Continent.

bladder

Numeric. 0 = Incontinent (or catheterized), 5 = Occasional accident, 10 = Continent.

toilet_use

Numeric. 0 = Dependent, 5 = Needs some help but can do something, 10 = Independent (on/off, dressing, wiping).

transfers

Numeric. 0 = Unable (no sitting balance), 5 = Major help (1-2 people, can sit), 10 = Minor help (verbal or physical), 15 = Independent.

mobility

Numeric. 0 = Immobile, 5 = Wheelchair independent (>50 yards), 10 = Walks with help (>50 yards), 15 = Independent (>50 yards).

stairs

Numeric. 0 = Unable, 5 = Needs help (verbal/physical), 10 = Independent.

References

Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J. 1965;14:61-65. Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 1989;42(8):703-709. doi:10.1016/0895-4356(89)90065-6

Examples

# Example 1: Total Dependence
# All 0s
barthel_index_adl(0, 0, 0, 0, 0, 0, 0, 0, 0, 0)

# Example 2: Moderate Dependence
# Feeding 10, Bathing 0, Grooming 5, Dressing 5, Bowels 10, Bladder 10,
# Toilet 5, Transfers 10, Mobility 10, Stairs 5
# Score = 70
barthel_index_adl(10, 0, 5, 5, 10, 10, 5, 10, 10, 5)