The Lawton Instrumental Activities of Daily Living Scale

Abstract

Acute illness or a worsening chronic condition can hasten functional decline in older adults. During hospitalization, reduced mobility and other factors may rapidly decrease an older patient's ability to perform activities crucial for independent living, and the effects might be permanent. The Lawton Instrumental Activities of Daily Living (IADL) Scale assesses a person's ability to perform tasks such as using a telephone, doing laundry, and handling finances. Measuring eight domains, it can be administered in 10 to 15 minutes. The scale may provide an early warning of functional decline or signal the need for further assessment. For a free online video demonstrating use of this assessment, go to http://links.lww.com/A246.

The advanced activities of daily living: A tool allowing the evaluation of subtle functional decline in mild cognitive impairment

“…All patients underwent a complete diagnostic procedure [26] and were evaluated with Mini Mental State Evaluation (MMSE) [27], Cambridge Examination for mental disorders of the elderly, Cognitive part (CamCog) [28], Geriatric Depression Scale (GDS) [29], Neuropsychiatric Inventory Questionnaire (NPI-Q) [30], b-ADL according to Katz et al [31], (modified version, with scores expressed as percentage where 100% represents complete dependency) and i-ADL according to Lawton et al [32,33], (a modified gender specific version, expressed as percentage where 100 % represents complete dependency; for men a 6 item version (ability to use telephone, shopping, transportation, handling medication, handling finances an handyman work), for women a 8 item version (food preparation, housekeeping, laundry, ability to use telephone, shopping, transportation, handling medication and finances)), completed with a physical evaluation, inventory of co-morbidities and medication use, extensive laboratory blood testing and imaging of the brain (CT scan or MRI).…”

The Structured Approach to the Determining of the Old and Elderly Patients' Needs in Medical Care

“…Зависимость от посторонней помощи или со-стояние физического функционирования опре-деляют на первом этапе с помощью шкалы Katz и Lawton [14,[28][29][30]. Шкала оценки Katz, или шка-ла ADL (Activity of Daily living), повседневной бы-товой активности предназначена для выявления ежедневных потребностей в уходе (мытье, одева-ние, перемещение, удержание мочи, пользование туалетом, питание) [14,28].…”

“…Шкала оценки Katz, или шка-ла ADL (Activity of Daily living), повседневной бы-товой активности предназначена для выявления ежедневных потребностей в уходе (мытье, одева-ние, перемещение, удержание мочи, пользование туалетом, питание) [14,28]. Шкала оценки Lawton, напротив, измеряет IADL (инструментальную по-вседневную деятельность: пользование телефоном, способность самостоятельно приготовить пищу, пе-ремещение на большое расстояние, посещение ма-газина и ведение домашнего хозяйства, мелкий ре-монт, стирка, самостоятельный прием медикамен-тов, управление финансами) [14,29,30]. Зависимость от посторонней помощи является самой серьезной проблемой пожилых людей, именно ограничение не-зависимости требует ухода, привлечения медицин-ских ресурсов, вовлечения родственников и наруша-ет качество жизни пожилого человека и его семьи.…”

Avaliação da capacidade de realização de atividades da vida diária em pessoas idosas estudo longitudinal comparativo

“…Esta escala é fácil de administrar (entre 10 a 15 minutos) e fornece informações auto-referidas sobre as habilidades funcionais. No entanto, este instrumento de avaliação pode não ser sensível a mudanças pequenas e incrementais na função (Graf & Hartford Institute for Geriatric, 2008). A escala é utilizada devido sobretudo à sua " (…) fácil aplicação e interpretação, baixo custo, não exigir pessoal especializado para a sua utilização, consumir pouco tempo no seu preenchimento e ainda devido à sua utilidade para rastreio (precoce) da incapacidade (Araújo, Pais Ribeiro, Oliveira, Pinto & Martins, 2008, p. 2).…”