The assessment of disability in patients on an acute medical ward for elderly people.

Abstract:

:The level of independence in self-care was monitored weekly in 212 patients admitted over 6 months to an acute medical ward for elderly people, and documented on discharge using a standard assessment, the Barthel Index. At discharge from the admitting ward, 39% of patients were independent (Barthel score of 20), 36% were mildly dependent (Barthel 15-19), 15% were moderately dependent (Barthel 10-14), 4% severely dependent (Barthel 5-9) and 6% very severely dependent (Barthel 0-4). Approximately 80% were able to transfer, walk, were continent of urine and could wash their top half, but one-third were unable to dress or use the toilet independently. Over half were unable to bath themselves or climb stairs unaided. It is feasible to assess disability in a busy acute service this way. Information can be provided both to community services on discharge of individual patients, and to managers responsible for planning services for elderly people.

journal_name

Disabil Rehabil

authors

Stone SP,Herbert P,Chrisostomou J,Vessey C,Horwood C

doi

10.3109/09638289309165867

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

35-7

issue

1

eissn

0963-8288

issn

1464-5165

journal_volume

15

pub_type

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