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Lawton Instrumental ADL Scale

Lawton Scale: Assesses complex skills needed for independent living. Note: This tool uses the modern scoring system (0-8 for all genders), abandoning the historical omission of food/laundry for men.

Select best descriptor for each

A. Ability to use telephone

B. Shopping

C. Food Preparation

D. Housekeeping

E. Laundry

F. Mode of Transportation

G. Responsibility for own medications

H. Ability to handle finances

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Detecting early functional decline in community-dwelling older adults.

Assessing independent living capability (can the patient live alone safely?).

Evaluating the impact of mild cognitive impairment (MCI) or early dementia on daily life.

Identifying specific areas where home support services are needed.

IADLs vs. ADLs

Basic ADLs (Katz/Barthel) measure survival skills (eating, toileting, bathing). Instrumental ADLs (Lawton) measure the complex, higher-order skills needed to live independently in a community (managing finances, taking medications, cooking). IADLs are typically lost before basic ADLs in the progression of dementia.

Related Scores in Practice

In clinical practice, this assessment is frequently evaluated alongside other validated measures. Depending on the patient's presentation and specific diagnostic requirements, you may also need to utilize the Katz Index of Independence in ADLs, Barthel Index or the Functional Independence Measure (FIM) to formulate a comprehensive care plan.

Last Comprehensive Review: 2026

Related Geriatrics Tools

Katz Index of Independence in ADLs

Barthel Index

Functional Independence Measure

Mini Nutritional Assessment

Triage Risk Screening Tool

STRATIFY Risk Assessment Tool

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