QUANTA HEALTHCARE SOLUTIONS INC.
37.05.03 Barthel Index
Purpose: To measure of a patient's independence in mobility and personal care using the Barthel Index.
Is the patient able to
walk ?
Yes
No
Please check the appropriate column for each ability
Independent
With help
Unable at all
Feeding
Personal toilet
Getting on and off toilet
Bathing self
Walking on level surface
Able to propel wheelchair on level surface
Ascend and descend stairs
Dressing
Controlling bowels
Controlling bladder
Independent
With minmal help
With major help
Unable at all
Moving from wheelchair
