Rank the patient's independence in the following areas:
Chair/Bed Transfers
Ambulation
Ambulation/Wheelchair
Stair Climbing
Toilet Transfers
Bowel Control
Bladder Control
Bathing
Dressing
Personal Hygiene
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