09 Instrumental Activities of Daily Living IADL

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HSAJB/OCT-09/VER1.

0/2022

Instrumental Activities of Daily Living (IADL)

Instructions: Circle the scoring point for the statement that most closely corresponds to the patient's current
functional ability for each task. The examiner should complete the scale based on information about the patient
from the patient him-/herself, informants (such as the patient's family member or other caregiver), and recent
records.

A. Ability to use telephone Score E. Laundry Score


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, etc. 1
2. Dials a few well-known numbers 1 3. All laundry must be done by others 0
3. Answers telephone but does not dial 1
4. Does not use telephone at all 0 F. Mode of transportation
1. Travels independently on public 1
B. Shopping transportation or drives own car
1. Takes care of all shopping needs 1 2. Arranges own travel via taxi, but does not 1
independently otherwise use public transportation
2. Shops independently for small purchases 0 3. Travels on public transportation when 1
3. Needs to be accompanied on any assisted or accompanied by another
shopping trip 0 4. Travel limited to taxi or automobile with 0
4. Completely unable to shop 0 assistance of another
5. Does not travel at all 0
C. Food preparation
1. Plans, prepares, and serves adequate 1 G. Responsibility for own medications
meals independently 1. Is responsible for taking medication in 1
2. Prepares adequate meals if supplied with 0 correct dosages at correct time
ingredients 2. Takes responsibility if medication is 0
3. Heats and serves prepared meals, or 0 prepared in advance in separate dosages
prepares meals but does not maintain 3. Is not capable of dispensing own medication 0
adequate diet
4. Needs to have meals prepared and served 0 H. Ability to handle finances
1. Manages financial matters independently 1
D. Housekeeping (budgets, writes checks, pays rent and bills,
1. Maintains house alone or with occasional 1 goes to bank), collects and keeps track of
assistance (e.g., "heavy work domestic help") income
2. Performs light daily tasks such as 1 2. Manages day-to-day purchases, but needs 1
dishwashing, bed making help with banking, major purchases, etc.
3. Performs light daily tasks but cannot 1 3. Incapable of handling money 0
maintain acceptable level of cleanliness
4. Needs help with all home maintenance tasks 1 (Lawton & Brody, 1969)
5. Does not participate in any housekeeping 0
tasks

Scoring: The patient receives a score of 1 for each item labeled A – H if his or her competence is rated at some
minimal level or higher. Add the total points circled for A – H. The total score may range from 0 – 8. A lower score
indicates a higher level of dependence.

Sources:
• Cromwell DA, Eagar K, Poulos RG. The performance of instrumental activities of daily living scale in screening for cognitive
impairment in elderly community residents. J Clin Epidemiol. 2003;56(2):131-137.
• Lawton MP. The functional assessment of elderly people. J Am Geriatr Soc. 1971;19(6):465-481.
• Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living.
Gerontologist. 1969;9(3):179-186.
• Polisher Research Institute. Instrumental Activities of Daily Living Scale (IADL). Available at:
http://www.abramsoncenter.org/PRI/documents/IADL.pdf. Accessed February 15, 2005.

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