🧓 Lawton Instrumental ADL (IADL)
UseWhen to use: geriatric / discharge planning when assessing shopping, meds, finances, etc.
StrataHigher scores = more IADL independence; complements Katz basic ADLs.
LimitsWhen not to use: as the only cognition screen. · Pitfall: scoring independent when setup/cueing is required. · Document sex-role version if truncated.
SourceLawton MP & Brody EM. IADL
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
8 domains.
When to use
When to use: geriatric / discharge planning when assessing shopping, meds, finances, etc.
How it works
One point each for 8 independent IADL domains (0–8).
Key points
- 8 domains.
- 0–8 score.
- Next: Katz ADL / care plan.
References
- Lawton MP & Brody EM. IADL
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Telephone — independent | Dependent (0) |
|---|---|
| Shopping — independent | Dependent (0) |
| Food preparation — independent | Dependent (0) |
| Housekeeping — independent | Dependent (0) |
| Laundry — independent | Dependent (0) |
| Mode of transportation — independent | Dependent (0) |
| Responsibility for medications — independent | Dependent (0) |
| Ability to handle finances — independent | Dependent (0) |
→Lawton IADL0/8
- Cue:Low IADL independence — substantial care planning
| Telephone — independent | Independent (+1) |
|---|---|
| Shopping — independent | Independent (+1) |
| Food preparation — independent | Independent (+1) |
| Housekeeping — independent | Independent (+1) |
| Laundry — independent | Independent (+1) |
| Mode of transportation — independent | Independent (+1) |
| Responsibility for medications — independent | Independent (+1) |
| Ability to handle finances — independent | Independent (+1) |
→Lawton IADL8/8
- Cue:Higher independence — usually community-capable for IADLs
Verification & sources · governance
FAQ
Frequently asked questions
- Does Lawton Instrumental ADL (IADL) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Lawton Instrumental ADL (IADL) calculated in practice? Can you show a worked example?
- Inputs: Telephone — independent Dependent (0), Shopping — independent Dependent (0), Food preparation — independent Dependent (0), Housekeeping — independent Dependent (0), Laundry — independent Dependent (0), Mode of transportation — independent Dependent (0), Responsibility for medications — independent Dependent (0), Ability to handle finances — independent Dependent (0) → Result: Lawton IADL 0 /8(Cue: Low IADL independence — substantial care planning) Inputs: Telephone — independent Independent (+1), Shopping — independent Independent (+1), Food preparation — independent Independent (+1), Housekeeping — independent Independent (+1), Laundry — independent Independent (+1), Mode of transportation — independent Independent (+1), Responsibility for medications — independent Independent (+1), Ability to handle finances — independent Independent (+1) → Result: Lawton IADL 8 /8(Cue: Higher independence — usually community-capable for IADLs)