Rank the patient's independence in the following areas:
Chair/Bed Transfers
Ambulation
Ambulation/Wheelchair
* (If unable to walk) Only use this item if the patient is rated "0" for Ambulation, and then only if the patient has been trained in wheelchair management.
Stair Climbing
Toilet Transfers
Bowel Control
Bladder Control
Bathing
Dressing
Personal Hygiene(Grooming)
Feeding
0 points
Total Dependence
Total Score
0/100
Score Interpretation Guide
0–20
Total Dependence
21–60
Severe Dependence
61–90
Moderate Dependence
91–99
Slight Dependence
100
Independence
Score Prediction
< 40: Unlikely to go home
Dependent in Mobility
Dependent in Self Care
60: Pivotal score where patients move from dependency to assisted independence. If living alone will probably need a number of community services to cope.
60–80: If living alone will probably need a number of community services to cope.
> 85: Likely to be discharged to community living
Independent in transfers and able to walk or use wheelchair independently