Varatel: INDEKS BARTHEL, Menpakan bt ukur yang i gunakan untuk mengotahsi kemanpuan fingsionsl pada asim yang mengihmi gingguin system sya Prosedur tes: Pasen dinitai dengm mengguakan Bartel Indeks pala aval treatment, seam rehobiltasi dan pada aldir masa rebsbiltes, tteamment yang diskukan terhadap paskn, Hol ini digimken untuk moniki peninghatan No Aas ‘Seare Dependence Trdependence T_|Peneiianas keeiaun a 0 3 [Mani 0 3 3 | Maan 5 10 [Toit akties bab & bat) 5 10 S| Naivirun ange 5 10 6_| Berpalain 5 10 T_[ Konrol BAB = 10 | kentiol BAK 5 10 9 | Ambubsi 15 Kasi mds 70 (bis px ambulast dengan urs oda) 10 | Transier kusibad 5-10 5 Totak 100 0-100 0-20= keterginungin peru dergantungan berat (sang tergniun) eergzntungan madera 91-99-—ketergintungan ringan 10 mit: Numer (ratio) Kategori. (ordi)Katz Index of Independence in Activities of Daily Living INDEPENDENCE: DEPENDENCE: (1PORT (a Pours) “NO supervision drecion personal | WITH supervision. drecton, personal anssiarce sistance or iotlcare (1 POUNT) Bathes set complety or | (O POINTS) Needs betp with bathing needs hslp n bathing only @ single | mare than one part o the body, part ofthe body suc a5 the bck, | getting n-or out of the tab or Shower. (vital ae or dzabled extreity. | Requires total batting (1 POINT] Gets cothes trom cosets (1 POINT) Goes o tol, gets on and off, arangas cothes, clans gant ren wenaut nei. (0 POINTS) Needs help with dressing eM oF needs to be compeeteny sessed, (0 POINTS) Needs Petp transfering ‘0 the tle, caring self or uses Deopan or comenoge. (1 POINT] ows fn and out of bed cr Mechanical (Q FOINTS) Needs bap in moving ‘hum bed ta chair or requires 2 ‘compet trancmt, {Q POINTS) is partly or totaly ‘continent of bowel or header (0 POINTS} Ness partial or tata help ‘eit tuecing or raqures parenteral ‘eedng.6 SKALA DEPRESI GERIATRI \Geriaarie Depression Seale 1S-Diem f GDS-18 to, | READAANYANG BRRASAIAD SELWA SEMINGGU san tones “TERAKHIA va_| tote 1. [Aoi anda setenamya pass dengan kahit Ara? ols 2 | Ania Anda ian menoggakan Eanyackegitan nme |) |g auuhevanang Anan? ‘Apataiv Anda vata kaficupan Anda kowang? 1 = ‘Apa Anda wwing maraaabowan? 1 o z : Tae ew en RATT | Te ‘pac Anda? % [Asana sa Raoga ik sobaiertian [| | Apmian ana seeng merase ask bentaya 1 o ‘| Aoakah Arca th suka lingpal cl remah daripeda Daihen | FE tne mengeraian sesuadu yang Batu? 10. | Apa Anda mowsa mampunyal banyak masalsh depart : a daya boat Anda danding kabanahan oraeg? TE | Apa Anda pik barn hilup Anda seharang nk dey naan 12. | Apaian Ansa memaa ak borage? 1 13_| Apaiah Ansa mama penuh somangat? 2 | 14. [ApakanAancamensa kensamn Ansa taxkedanarean? | 1 | 1S. | Avaka Anda ky bata orang lm OA Bak Kaachanca i dadada Anda? Lotsa torres: Juma eapon djuriakan dan dha goskan morta: Gf ara conan depres sactng (0) Stora Steps ingan Saber Saal: C, Condingley, Let al (2406) A sw version af the peta Apetsion scale fe marin and side) home populions: The Gere Bepresion Scale (Resdntia (GDS I2K). tomato Pigchoqeraics, 12173-4150 yang tah dutta pi a 5 ohh Polat OY. ‘Wanseo, MS aks, MIL, (3008) PergacshTespi Upasond Terbalay Pemurenae Tingt Dep on Peninghatan Fomcnsban Hebwinhan Schascha pada Lasso & PSTW Abin Props’ Daub {imews Voqplams, Jarl Tbmndoy Keachana, 1) ALSMini-Mental State Examination (MMSE) Patents Name: Date: Instructions: Score one point for each correct response within each question or activity. ‘Maximum Patient's Score | Score | Westions 3 ‘What is the year? Season? Date? Day? Month?” é ‘Where are we now? Siaie? County? Townlaily? Hospital? Floor?” ‘The examiner names three unrelaled objects cleerly and slowly, then 5 the instructor asks the patient name all three of them, The patiant's ‘response is used for scoring. The examiner repeats them untl patient leams al of them, if possible. would Ike you to count backward irom 100 by sevens.” (93, 66, 78, 5 12, 88, Alternative: “Spell WORLD backwards" (O4-R-O-W) a Eaile | told you the names of three things. Can you tel me what those ware?” a ‘Show the patient two simple objects, such as a wristwatch and a pencil {and ask the patient to name them, 1 Repeat the phrase: ‘No is, ands, or buts.” , “Take the paper in your right hand fold in hal, and putiton the foo. (The examiner gives the patient a piace of biank paper.) lease read this and do what it says.” (Witten instruction is “Close your eyes.”) Mako up andra a sentence about anything." (This sentence must contain a noun and a verb.) Please copy this picture.” (The examiner gives the patient a blank piace of paper and asks hiner to draw the symbol below. All 10 ‘angles must be present and two must intersect) a 30 TOTAL