Berg Balance Test

Effective planning and preparation
The Berg Balance Test took place in   X   Hospital in the Daycare Centre on Friday 3rd October 2014.   My client, Betty, had hearing problems and was not wearing her hearing aid.   She had fluid retention in both legs and mentioned that she had difficulty standing for any length of time.   Betty also had ill-fitting dentures which made communication difficult.   Betty uses a stick.   Betty had laced up, flat shoes on and was happy to proceed with the test.   Betty also mentioned that she was tired as she had disturbed sleep the previous night.  

Description of treatment/skill
The Berg balance test takes 15 - 20 minutes and comprises a set of 14 simple balance related tasks, ranging from standing up from a sitting position, to standing on one foot.   The degree of success in achieving each task is given a score of 0 (unable) to 4 (independent), and the final measure is the sum of all of the scores.
Betty was able to sit unsupported for 2 minutes.   She had difficulty standing from the chair and needed assistance to stand and stabilise herself.   Betty did not want to close her eyes as she feared she would fall over.   Due to the fluid retention in Bettys legs she was unable to stand with her feet together.   Betty did not want to pick up her handbag which was on the floor due to her concerns about balance.   Betty also did not want to turn 360 degrees also due to balance concerns.   As Betty was not wearing her hearing aid, she had communication issues with regard to what tasks she had to carry out.   Also, as her dentures were ill-fitting Betty’s speech was not very clear.   Therefore Betty only completed tasks 1 – 3 and tasks 4 – 12 were not completed by Betty as she had concerns she would fall due to her fluid retention in both legs.   Betty completed task 13 but needed assistance from myself and Betty was not able to complete task 14 as she could not transfer safely without my assistance.

During the Berg balance test it was...