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ESCALA DE BARTHEL

ESCALA DE BARTHEL

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Published by: 4gen_1 on Jul 08, 2010
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11/14/2013

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Barthel scale.
EAT: (10) (5) (0)

Independent. Able to feed himself and in a reasonable time. Food can be cooked a nd served by someone else. Need help. To cut the meat or bread, spread butter, e tc.., But is able to feed himself. Dependent. Needs to be fed by someone else.

WASH (bathing): (5) Independent. Able to wash over. Includes in and out of the b athroom. You can do it all without being a bystander. (0) Dependent. Need some h elp or supervision. DRESSING: (10) Independent. Able to put on and take off thei r clothes without help. (5) needs help. Make at least one half of the tasks in a timely manner. (0) Dependent. FIXED: (5) Independent. Make all personal activit ies without any help. Necessary supplements may be provided by someone else. (0) Dependent. Need some help. DEPOSITION: (10) Continent. No episode of incontinen ce. (5) occasional accident. Less than once a week or need help to enemas and su ppositories. (0) Incontinence. Urination (rate the previous week): (10) Continen t. No episode of incontinence. Able to use any device on its own. (5) occasional accident. Maximum of one episode of incontinence in 24 hours. Includes need hel p in handling the probes and other devices. (0) .. Incontinence USING THE TOILET : (10) Independent. Enter and exit only and does not need any help from another person. (5) needs help. Capable of dealing with little help: it is able to use t he bathroom. You can clean itself. (0) Dependent. Unable to cope without help mo re. TRANSFER TO ARMCHAIR / BEDROOM:

(15) (10) (5) (0)

Independent. No need help. Minimal assistance. Includes verbal supervision or ph ysical help small. Great help. Requires the help of a strong person or trained. Dependent. Need crane or lifting by two people. Unable to sit still.

Ambulation: (15) Independent. Can you walk 50 m, or its equivalent at home witho ut assistance or supervision of another person. You can use instrumental aid (ca ne, crutch), except walker. If you use dentures, should be able to put it on and off only. (10) needs help. Need a little supervision or physical assistance fro m another person. Necessary to use walker. (5) Independent. (In a wheelchair) in 50 m. Not require assistance or supervision. (0) Dependent. UP / DOWN STAIRS: ( 10) Independent. Able to walk up and down a floor without the help or supervisio n of another person. (5) needs help. For help or supervision. (0) Dependent. Una ble to save steps evaluates ten basic activities of daily living, and according to these scores classify patients: 1 - Independent: 100 pts (95 itself remains i n a wheelchair). 2 - Dependent Mild> 60 pts. 3 - Moderate Dependent: 40-55 pts. 4 - Dependent grave: 20-35 pts. 5 - Dependent total: <20 pts.

TEST DELTA.
UNIT:
MOBILIZATION: (0) Self. (1) occasional assistance for mobilization from the bed,
toilet, chair or wheelchair. (2) Requires frequent assistance for mobilization
from the bed, toilet, chair or wheelchair. (3) Assistance is needed permanently.
Deambulation and displacement.

(0) (1) (2) (3) CLEANING:

Self, although it has some means of support. Need help occasionally. Often need help in walking. You have to scroll forever. Unable to push the wheelchair. Lodg ing

(0) Self. (1) Requires occasional assistance in daily cleaning: washing hands, f ace shaving, hair, etc. (2) often need help for daily housekeeping. (3) It is al ways help. DRESS: (0) (1) (2) (3) Self. Sometimes you have to help. Requires sup ervision. Always need help to get clothing or footwear is absolutely necessary c

lothing and footwear.

FOOD: (0) What do alone. (1) Requires occasional assistance to eat. Sometimes qu 7e prepare food. (2) Require often helps to eat. You are preparing food. (3) It should give you food. Sphincteric HYGIENE: (0) Continence. Occasional urinary in continence. (1) nocturnal urinary and fecal incontinence occasionally. Colostomy . (2) permanent urinary incontinence day and night. Catheterization. (3) total u rinary and fecal incontinence. ADMINISTRATION OF TREATMENTS: (0) No precise. Aut onomous management. (1) Needs supervision in taking medication and / or occasion al help in the administration of certain treatments. (2) must be prepared and gi ven the medication daily. (3) Accurate fluid therapy, oxygen therapy, nasogastri c tube feeding, etc.. NURSING CARE: Prevention of pressure sores, balance contro l-elimination intake, vital signs, ... (0) No precise. (1) Requires nursing perf ormance cure or cause.

(2) (3)
Accurate nursing cure or periodically monitoring performance continued: terminal
care, cures of serious injury, etc..

NEED OF SUPERVISION: (0) No precise. (1) Conduct disorders involving temporary o ccasional need for vigilance (eg psychomotor restlessness ,...) (2) permanent be havioral disorders that alter the coexistence of mild or moderate (eg, ideas of death, self- hetero ,...) (3) permanent severe behavioral disorders that alter t he coexistence of a serious (eg risk of suicide, homelessness, leak syndrome, et c.). PARTNERSHIP: (0) Contributor. (1) Passive (requires stimulus) (2) Not worki ng. (3) categorical rejection and constant.

PHYSICAL IMPAIRMENT.
STABILITY: (0) Maintain good standing or any position. (A) Slight uncertainty in
the march. Slight risk of falling (eg frequent dizziness). (2) Marked insecurit
y in the march. Frequent falls (3) You can not stand without support. VISION AND
HEARING: (0) Normal or corrected vision with glasses. Listen carefully. Cases n
ot assessable. (A) Slight decrease in vision, bad compensated with glasses. Mode
rate deafness. Take your headset. (2) Markedly diminished vision, which can not
be compensated with glasses. Total deafness. (3) total blindness. ALTERATION OF
LOCOMOTOR: (0) Mobility and normal force. Overall sensitivity. Cases not assessa
ble. (A) Slight limitation of movement in some of the limbs or trunk. (2) modera
te limitation of mobility in some of the limbs or trunk. Ankylosis of a

(3)
major joint. Partial amputation of a limb. Severe limitation of mobility. Comple
te amputation without prosthesis. Dislocation.

OTHER NEUROLOGICAL FUNCTIONS: stiffness, abnormal movements, seizures. (0) No ab normalities. (1) tremor. Occasional abnormal movements. Mild hypertonia. Slight rigidity. (2) moderate tremor. Occasional seizures. Frequent abnormal movements (dyskinesias, dystonia). Moderate stiffness. (3) major earthquake. Frequent seiz ures. Stiffness important. Permanent abnormal movements. RESPIRATORY AND CARDIOV ASCULAR: (0) No abnormalities. (A) Design of medium exertion (stairs, hills). Mi ld intermittent claudication .. (2) Dyspnea on minimal effort. Vascular pain and permanent light. (3) design continues serious. Permanent vascular pain moderate or severe.

Physically handicapped.
LANGUAGE AND UNDERSTANDING: (0) speaks normally. Good understanding. (1) Some di
fficulty in speaking. Sometimes do not understand what is said. (2) severe dysar
thria or dysphasia. Little coherence or expression. Often unresponsive orders an
d suggestions. (3) Aphasia. Intelligible speech or inconsistent. Just talk. Does

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