THE APPLICATION OF THE BARTHEL INDEX IN ASSESSING THE INDEPENDENCE OF ELDERLY PATIENTS
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Abstract
Background: The global aging population is rising sharply. WHO data show that in 2015, 12.3% of the world's population was aged 60 or older, projected to reach nearly 22% by 2050. In Indonesia, the elderly population increased to 11.75% in 2023, from 10.48% the year before. In South Kalimantan, it reached 10.81%. In Banjarmasin, elderly residents increased from 46,888 in 2018 to 52,103 in 2020. This trend emphasizes the need to assess elderly independence, as aging leads to physical, mental, and social decline, impacting their ability to perform daily activities. The Barthel Index is a validated tool used to assess functional independence in 10 areas of daily living, including bathing, dressing, toileting, and mobility. Purpose: To analyze the application of the Barthel Index in assessing the independence of elderly individuals. Method: A community service activity was conducted at Yayasan Uma Kandung Banjarmasin with six elderly participants. Assessment used the Barthel Index form through observation and interview. Scores were categorized into five levels: total, severe, moderate, slight dependence, and full independence. Results: showed that 66.66% of the elderly were fully independent, 16.67% had slight dependence, and 16.67% had moderate dependence. None were severely or totally dependent. Discussion: The findings indicate that most participants maintained functional independence. The Barthel Index proved to be a practical, objective tool for evaluating daily living abilities and identifying care needs. Its regular use is recommended to monitor functional changes and plan appropriate interventions that support aging in place and improve quality of life.
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References
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