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IADLs that can be assessed include: Management of finances. Driving or navigating within the community. Shopping. Meal planning and preparation. Laundry. House cleaning. Ability to use communication devices (e.g., cell phone, land line, phone booth, etc.) Management of medications.
The Lawton IADL scale can be scored in several ways. The most common method is to rate each item either dichotomously (0 = less able, 1 = more able) or trichotomously (1 = unable, 2 = needs assistance, 3 = independent) and sum the eight responses. The higher the score, the greater the persons abilities.
The major domains of IADLs include cooking, cleaning, transportation, laundry, and managing finances. Occupational therapists commonly assess IADLs in the setting of rehab to determine the level of an individuals need for assistance and cognitive function.
The Lawton-Brody Instrumental Activities of Daily Living (iADL) scale covers eight functional domains: using the telephone, shopping, food preparation, housekeeping, laundry, transport, medication, and finances.
BEST TOOL: The Lawton Instrumental Activities of Daily Living Scale (IADL) is an appropriate instrument to assess independent living skills (Lawton Brody, 1969). These skills are considered more complex than the basic activities of daily living as measured by the Katz Index of ADLs (See Try this: Katz Index of ADLs).
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ADLs may be measured by self-report, proxy/caregiver/informant report, and/or direct observation. These tools obtain a general sense of the level of assistance needed and the type of setting that is most appropriate for the patient.
The Australian Modified Lawtons Instrumental Activities of Daily Living (IADL) Scale can contribute to diagnosing cognitive impairment. This tool can screen patients for deteriorating capacity to manage daily living activities because of cognitive changes.
Scoring: For each category, circle the item description that most closely resembles the clients highest functional level (either 0 or 1). A summary score ranges from 0 (low function, dependent) to 8 (high function, independent) for women and 0 through 5 for men to avoid potential gender bias.

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