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Lawton Instrumental Activities of Daily Living (IADL)
Dec 21, 2024
•
Mark Morgan
categories:
geriatric
This is a geriatric decision tool.
Lawton Instrumental Activities of Daily Living
Summary: The Lawton Instrumental Activities of Daily Living Calculator is useful for identifying current functional level and for detecting trends toward improvement or deterioration. There are eight areas assessed with the Lawton IADL scale.
Women are typically scored on all 8 areas of function and, historically, the areas of food preparation, housekeeping, laundering are excluded for men.
Clients are scored according to their highest level of functioning in that category.
Higher scores indicate independence and high function, while lower scores indicate dependence and low function.
Without help - 3 points
With some help - 2 points
Completely unable to use the telephone - 1 point
<-- 1. Can you use the telephone?
Without help - 3 points
With some help - 2 points
Completely unable to travel unless special arrangements are made - 1 point
<-- 2. Can you get to places that are out of walking distance?
Without help - 3 points
With some help - 2 points
Completely unable to do any shopping - 1 point
<-- 3. Can you go shopping for groceries?
Without help - 3 points
With some help - 2 points
Completely unable to prepare any meals - 1 point
<-- 4. Can you prepare your own meals?
Without help - 3 points
With some help - 2 points
Completely unable to do any housework - 1 point
<-- 5. Can you do your own housework?
Without help - 3 points
With some help - 2 points
Completely unable to do any handyman work - 1 point
<-- 6. Can you do your own handyman work?
Without help - 3 points
With some help - 2 points
Completely unable to do any laundry - 1 point
<-- 7. Can you do your own laundry?
Yes - 1 point
No - 2 points
<-- 8. Do you use any medications?
Without help (in the right doses at the right time) - 3 points
With some help (take medication if someone prepares it for you or reminds you to take it) - 2 points
Completely unable to take own medication - 1 point
<-- 8b. Do you take your own medication?
Without help (in the right doses at the right time) - 3 points
With some help (take medication if someone prepares it for you or reminds you to take it) - 2 points
Completely unable to take own medication - 1 point
<-- 8b. If you had to take medication, could you do it?
Without help - 3 points
With some help - 2 points
Completely unable to handle money - 1 point
<-- 9. Can you manage your own money?
Score -->
Score
(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8a)+(Q8b)+(Q9)
points*
*Although very high and very low scores are clinically relevant, the trend in scores over time often has more utility than any single score.
display/hide references
references:
#1
Lawton (1969) Gerontologist 9: 179-86
#2
Elsawy (2011) Am Fam Phys 83: 48-56
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