Lawton and Brody developed a scale for grading an older adult's ability to perform activities of daily living (ADL). The authors are from the Philadelphia Geriatric Center.
Parameters:
(1) use of telephone
(2) shopping
(3) food preparation
(4) housekeeping
(5) laundry
(6) transportation
(7) handling own medications
(8) handling finances
|
Parameter |
Findings |
Points |
|
telephone |
independent |
1 |
|
|
can dial a few well-known numbers |
1 |
|
|
answers but does not dial |
1 |
|
|
unable to use phone |
0 |
|
shopping |
independent |
1 |
|
|
can shop for small or simple items |
0 |
|
|
needs assistance in shopping |
0 |
|
|
unable to shop |
0 |
|
food preparation |
independent |
1 |
|
|
prepares meals if ingredients provided |
0 |
|
|
able to heat a prepared meal or depends on others for an adequate diet |
0 |
|
|
unable to perform any aspect |
0 |
|
housekeeping |
independent |
1 |
|
|
can perform some chores |
1 |
|
|
can perform light chores but depends on others for adequate cleanliness |
1 |
|
|
needs assistance with all tasks |
1 |
|
|
unable to perform |
0 |
|
laundry |
independent |
1 |
|
|
can launder simple items |
1 |
|
|
unable to do laundry |
0 |
|
transportation |
independent |
1 |
|
|
can arrange for a taxi |
1 |
|
|
can use public transportation if assisted or accompanied |
1 |
|
|
dependent on others |
0 |
|
|
unable to travel |
0 |
|
medications |
independent |
1 |
|
|
needs help with preparing or scheduling doses |
0 |
|
|
unable to handle |
0 |
|
finances |
independent |
1 |
|
|
needs help with difficult tasks |
1 |
|
|
unable to handle |
0 |
where:
• The points assigned could be expanded to values other than 0 or 1.
• It is unclear why some items are scored as they are, such as 1 point for needing assistance in all housekeeping tasks.
total score =
= SUM(points for all 8 items)
Interpretation:
• minimum score: 0
• maximum score: 8
• The higher the score the greater the independence for activities of daily living.
Purpose: To evaluate an older adult using Instrumental Activities of Daily Living (IADL) Scale of Lawton and Brody.
Specialty: Sports Medicine & Rehabilitation
Objective: quality of life
ICD-10: ,
