LAWTON - BRODY I.A.D.L. - Salimbagat
LAWTON - BRODY I.A.D.L. - Salimbagat
LAWTON - BRODY I.A.D.L. - Salimbagat
Scoring: For each category, circle the item description that most closely resembles the client’s highest
functional level (either 0 or 1).
A. Ability to Use Telephone E. Laundry
1. Operates telephone on own initiative- 1 1. Does personal laundry completely 1
looks up and dials numbers, etc. 2. Launders small items-rinses stockings, 1
2. Dials a few well-known numbers 1 etc.
3. Answers telephone but does not dial 1 3. All laundry must be done by others 0
4. Does not use telephone at all 0
B. Shopping F. Mode of Transportation
1. Takes care of all shopping needs 1 1. Travels independently on public 1
independently transportation or drives own car
2. Shops independently for small 0 2. Arranges own travel via taxi, but does 1
purchases not otherwise use public transportation
3. Needs to be accompanied on any 0 3. Travels on public transportation when 1
shopping trip accompanied by another
4. Completely unable to shop 0 4. Travel limited to taxi or automobile with 0
assistance of another
5. Does not travel at all 0
C. Food Preparation G. Responsibility for Own Medications
1. Plans, prepares and serves adequate 1 1. Is responsible for taking medication in 1
meals independently correct dosages at correct time
2. Prepares adequate meals if supplied 0 2. Takes responsibility if medication is 0
with ingredients prepared in advance in separate dosage
3. Heats, serves and prepares meals, or 0 3. Is not capable of dispensing own 0
prepares meals, or prepares meals but medication
does not maintain adequate diet
4. Needs to have meals prepared and 0
served
D. Housekeeping H. Ability to Handle Finances
1. Maintains house alone or with 1 1. Manages financial matters 1
occasional assistance (e.g. "heavy work independently (budgets, writes checks,
domestic help") pays rent, bills, goes to bank), collects and
2. Performs light daily tasks such as dish 1 keeps track of income
washing, bed making 2. Manages day-to-day purchases, but 1
3. Performs light daily tasks but cannot 1 needs help with banking, major purchases,
maintain acceptable level of cleanliness etc.
4. Needs help with all home maintenance 1 3. Incapable of handling money 0
tasks
5. Does not participate in any 0
housekeeping tasks
Score 4 Score 3
Total score________7__________
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
Total: 7