Patient name: Date:

INDEPENDANT ACTIVITES OF DAILY LIVING (Australian Modified Lawton's IADL Scale)

1. Use of telephone
    Can operates telephone on own initiative - looks up and dials numbers etc.
    Can dial a few well-known numbers. Includes dialling only numbers that can be speed dialled.
    Can answer telephone but cannot dial
    Cannot use telephone at all
2. Shopping
    Can take care of all shopping needs independently
    Can shop independently for small purchases
    Needs to be accompanied on any shopping trip
    Completely unable to shop
3. Food preparation
    Can plan, prepare, serve adequate meals independently
    Can prepare adequate meals if supplied with ingredients
    Can heat and serve prepared meals, or can prepare meals but not does maintain adequate diet
    Needs to have meals prepared and served
4. Housekeeping
    Can maintain house independently
    Can perform light daily tasks eg dishwashing, dusting
    Can perform some light daily tasks but not at a level necessary to maintain an acceptable standards of cleanliness
    Cannot participate in any housekeeping tasks
5. Laundry
    Can do personal laundry completely
    Can do personal laundry but needs help with heavier items such as bedding and towels
    Can launder small items - rinses socks, stockings etc
    All laundry must be done by others
6. Mode of transportation
    Can travel independently on public transportation or can drive own car or can arrange own travel via taxi.
    Can travel on public transportation when assisted or accompanied by another
    Travel limited to taxi or automobile with assistance of one other person
    Requires manual assistance from more than 1 person or does not travel at all
7. Responsibility for own medications
    Can take responsibility for taking medications in correct dosage at correct time
    Can take responsibility if medication is prepared in advance in separate dosages
    Is not capable of dispensing own medication
8. Ability to handle finances
    Can manage financial matters independently (budgets, writes cheques, pays rent, bills, goes to bank), collects and keeps track of income
    Can manage day-to-day purchases, but needs help with banking, major purchases etc
    Incapable of handling money

TOTAL /30

Subject:

Source:The Hartford Institute for Geriatric Nursing, New York University, Rory Meyers College of Nursing and University of Wollongong Australia