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the Barthel index is an assessmentmeasure used to determine anindividual's ability to performactivities of daily living and potentialneed for assistance talk to a little bitmore but how we're gonna go about youryour in-home Oh tea and the plan nowthat you're discharged from the hospitalokay wonderful the index is based uponten areas of ADL performance you canrate each area based upon the amount ofassistance needed to complete the taskappreciate you letting me come into yourhome I know that you've been through alot with your recent stroke and nowyou're you're back here in your home yesand you've been home for how long about48 hours okay have you adjusted well sofar do you feel like I'm fair okay wellbefore we get too far into anything Iknow when you were in the hospital youdid some rehab there in the inpatient soyou probably became familiar with whatan occupational therapist is what aphysical therapist is you may have metwith the speech therapist a littlebecause I know you had some some memorystuff going on so just to clarify what Iam I'm also an occupational therapistbut I'm gonna be seeing you more on anoutpatient level so now that you're notin the hospital I will be here cominginto your home to try and help you toadjust while you're here makemodifications as needed to your home orto how you do things just to help you tobe successful here and help you to beable to return to doing thosethings that are meaningful to you that'dbe wonderful okay thank you so as a partof what we're gonna do to establish ourplan for how how we want to go aboutachieving whatever we decide our goalsare going to be and that'll be acollaborative effort will want to worktogether to make sure their your goalsand that not mine for youso today to help start that process I'mgonna do an assessment with you it'sreally just a questionnaire to kind ofget to know what what you need help witharound the house right now what you feelcomfortable doing on your own and whatyou think or you have found you stillneed a little assistance with okay doesthat sound okay it sounds wonderful okayand just so I know before we get startedare you living alone hereyes I am my husband passed away just alittle over a year ago okay okay can Isee your little four-legged friends hido have a little four-legged friend okaymy buddy good companion good companionkeeps me keeps me my spirits up and I'msure she's happy at home yes and do youhave any help coming in and all rightnow I know it's my baby no no help itall right okay family checking in thoughI think I read yes in that respectgood okay well I'm gonna go ahead andget started with some of these questionsokay sure you feeling comfortable anypain right now no no okay and I see youhave your arm up on the table yes itjust feels better sometimes if it's justresting okay and it's your left sidethat was affected by this stroke yesokay great um well you let me know ifyou need a break okay thank you so we'rehere in your kitchen this is probablywhere you do your feeding so let's starttherehow do you how much are you able to doby yourself as far as feeding meaningyou know cutting your food or spreadingbutter or using utensils do you havedifficulty do you mean I I do havedifficulty it seems like when I go totry to hold the fork like you know togive some pressure to where you know youcould hold your meat steady in yourplate I don't have the strength that Iused to have in my left hand and so I dohave a little bit of trouble with thatso you you require help occasionally yesI do okayas far as bathing do you use a do youshower right now yes I do and do youneed help with that or are you able to1do that independently oh you know I'm1pretty much able to do that I'm1fortunate I have a shower that has the1seat in it mm-hm so I do pretty well1there good I'm going to hear that and1that's probably something they talk to1you a lot about in the hospital you know1they're probably focused enough making1sure you received with that kind of yes1they did so once you get out of the1shower then you go into maybe your1grooming routine so that encompasses you1know maybe washing your hair putting1your makeup on brushing your teeth1shaving anything like that do you do you1need help with those things or do you do1you feel independent1you know I pretty much I feel1independent I I'm pretty much fatigued a1great deal of the time so I have a1little bench that's in there so when I1feel that I'm getting you know wobbly or1fatigued I sit down takes me longer to1you know to do some of the things as far1as you know things for makeup on her1stuff and I manage yeah you look1beautiful1well thank you thank you now that you're1out of the shower your groom you're1looking good we're not getting to rest I1have some trouble with buttons I can't1you know hold that the blouse1get a beer I'm not as able to button1that my closes as quickly as I used to1it takes a lot of time hooking my bra mm1is another issue that I've run across1other than that I have to sit down to1pull my slacks on has your family so1when they come over and have they've1been the ones helping you with that yes1yeah yeah so if you were to say if we1were to say for dressing do you think1you do about half of that on your own1yes and this family helps yes with the1other half you would say yesterday okay1I know these these questions are1probably wishy-washy depending on the1day I'm sure it just times a day than1others right but it's good to know if1you if you're doing about half and then1you need how about is the other half as1far as bowel and bladder have you had1any issues with incontinent on it and1using the toilet are you independent1with getting there sitting standing sure1everything that goes with that yeah okay1okay how about transfers so that what1you probably know what that means after1being in the hospital but getting in and1out of bed so coming from your bed to1standing to walking or getting up out of1these chairs I know these chairs don't1have our rest push up1yeah I'm pretty weak pretty wobbly it1that is one thing that in all honestly1getting up of the morning feeling steady1and secure you know is I'm just I'm just1weak my left side is just weak and it1just doesn't seem like it works with my1brain I can this doesn't1right now as well as it should so do you1have your daughter your family member1here kind of supervising when you wake1up in the morning inside they come by1very early1it's nice you have that support yes it1is like I said I'm very fortunate so1you'd say mine your help with that kind1of thing just getting up out of bed but1yeah if you were to get out of this1chair you're able to help me get1something out of the kitchen so you got1back up1just making sure that's consistent yeah1I see you're using your cane yes and you1know it looks like for the most part the1meaning this is everything you need is1on the main level of this house yes it1is a very open floor feeling good do you1are you independent with walking around1in the house yes I am okay no Falls no1Falls I just moving slower and I just1you know take my time and like I said I1might biggest complaint is I'm just I1just don't have the strength I fatigue1very easily and you know I'm sure I1would hope that when they you left the1hospital maybe somebody gave you some1education on that but I'm gonna1reiterate that it's very typical to have2some fatigue after a stroke and just2being in the hospital and going to that2recovery and that's gonna be for a while2you're going to probably feel tired and2maybe a little more fatigued than you2would would have before you may need two2naps you may need rest breaks and that's2that's part of what we're here to help2you with well thank you it's a very2definite change in one's lifestyle so2you need help I can give I'm very2thankful for that's okay so the last2question I have kind of goes along with2that mobility piece I do see you have2some stairs going out into okay2and then I walked up a stair or two2which get into the front door2yep how do you do with going up and down2stairs if you need to you need help with2stairs like someone on your side it2would be advisable I think for a while2okay I get a little bit more sure-footed2okay that's good to know2and it sounds like you you understand2that you you maybe need a little help2right now yes I do so a little bad thing2that's that's called the insight and2that's something that it's important to2have to know well I want to give our2arteries I want to get my strength back2and I certainly don't want to fall so2good and that was my next question I2want to kind of work with you a little2to talk about some goals so it sounds2like there's one of your goals you want2to get better and get your strength huh2I do you sound a little fearful of Falls2I I just like I said I want to get up2and going again and feeling like as much2like my old self as I can and I just2don't want to fall and that's you know2hopefully my my strength will come back2with help and I'm just so thankful that2you know I have have you to help me and2I've been fortunate with people talking2to him before I left the hospital2good well we're gonna keep moving with2other parts of our assessment here2around the house this was just the2beginning portion but would you be2opposed to me I think I have your2daughter's phone number on file if I2know she's helped you a lot would you2mind if I called her and asked her about2some of these questions as well just to2see how she feels everything's only2perfectly fine okay because sometimes we2use you know we like to have information2for me it was the patient and then we2like to have some information from there2Erica sure I'm sure you remember that2being a caregiver for your kids now2they're helping you out oh yeah2that's good that they're here for you2okay well we can move on with some other2things I'll take a look at how how the2house is laid out and see crazy about2coming up with more of a plan okay2sounds wonderful right

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What does Barthel mean?

Love to me is the emotional release i feel in my body. These "Love" feelings are purely chemicals released from the brain and are felt throughout the body. These feelings can be triggered towards any one. We receive these emotions from a sence of attachment towards another person. I love my lover and i continue to love her because of these emotions. My love for her is stronger than my lust for other intimate relationships which is why i choose to stay with her. My lover is also my best friend. Love should be a friendship. if people can no longer can be friends and there are more upsets and Continue Reading

What does the Barthel index measure?

The popular explanation: Refraction is the change in the light wave propagation direction when a change in refractive index of a medium is encountered. The phenomena is explained in terms of Snell's law/ Fermat's principle of least time, law of conservation of momentum and of energy. But what really happens behind the scenes: We are dealing with light-matter interaction here. The light causes the charges (electrons, atoms, or molecules) in the medium to oscillate and thus emit additional light waves that can travel in any direction (over the sphere of 4π steradians of solid angle). The oscillati Continue Reading

Who created the Barthel Index?

As I have been around for a while, I decided to compile my little list just for the sake of passing my time. Expect a sardonic tone here, an ounce of sarcasm there and a bit of irreverence and blather to top it all off. Here goes: Robert Strickland: If you want someone to keep you informed on the African American experience, he is the most reliable source I could find. Not meaning to have all the other writers on the topic discounted but I find his insight to be refreshing. User-13322474993482030941: Her knowledge of Middle Eastern culture, politics and religious differences is guaranteed to get a Continue Reading

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