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Skala Penilaian :
0 = Ketergantungan penuh
1 = Perlu bantuan banyak
2 = Perlu bantuan sedang
3 = Perlu bantuan minimal/pengawasan
4 = Mandiri penuh
Task Score
Toileting
1 = Cares for self at the toilet completely, experieces no incontinence
0 = Needs to be remained or needs help in cleaning self, or has rare (weekly at most)
accident
0 = Soils or wets while asleep more than once a week
0 = Soils or wets while awake more than once a week
0 = Has no control of bowels or bladder
Feeding
1 = Feeds self without assistance
0 = Feeds self with minor assistance at meal times and /or with special preparation of
food, or help in cleaning up after meals
0 = Feeds Self with moderate assistance and is untidy
0 = Requires extensive assistance for all meals
0 = Does not feed self at all and resists efforts of others to help
Dressing
1 = Dresses, undresses, and select clothes from own wardrobe
0 = Dresses and undresses with minor assistance
0 = Needs moderate assistance in dressing or selecting clothes
0 = Needs major assistance in dressing or selecting clothes
0 = Is completely unable to dress self and resists effort of others to help
Grooming (Neadness, Hair, Nails, Hands, Face, Clothing)
1 = Grooms self without assistance and is always neatly dresses and well-groomed
0 = Grooms self adequately and receives occasional minor assistance (e.g, with
shaving)
0 = Need moderate and regular assistance or superfision in grooming
0 = Need total grooming care, but can remain well-groomed after help from others
0 = Actively resists all efforts of others to assist with grooming
Physical Ambulation
1 = Goes about grounds or city
0 = Ambulances within residence or about 1-block distance
0 = Ambulances with assistance of the following (check one) :
( ) Another person
( ) Railing
( ) Cane
( ) Walker
( ) Wheelchair _____ gets in and out without help
_____ needs help getting in and out
0 = Sits unsupported in chair or wheelchair, but cannot propel self without help
0 = Is bedridden more than half the time
Bathing
1 = Bathes self (e.g., in tub, in shower, by sponge bath
0 = Bathes self with help in getting in and out of tub
0 = Washes face and hands only, but cannot bathe rest of body
0 = Does not wash self but is cooperative with those who assist
0 = Does not try to wash self and resists efforts to assist
Modified from Lawton MP, Brody EM: Assesment of older people: self-maintaining and instrumental activities of daily
living, Gerrontologist 9:179-186, 1969.
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INDEKS BARTHEL
KRITERIA HASIL:
A. 0 - 100
B. 0 20 KETERGANTUNGAN PENUH
21 61 KETERGANTUNGAN BERAT (SANGAT TERGANTUNG)
62 -90 KETERGANTUNGAN MODERAT
91 99 KETERGANTUNGAN RINGAN
100 MANDIRI
SKALA
A. NUMERIK (RATIO)
B. KATEGORIK (ORDINAL)