Saturday, May 31, 2014

LAWTON SCALE FOR INSTRUMENTAL ACTIVITIES OF DAILY LIVING

The Lawton scale evaluates more sophisticated functions than the Katz index. Patients or caregivers can complete the form in a few minutes. The first answer in each case—except for 8a—indicates independence, the second indicates capability with assistance, and the third indicates dependence. In this version, the maximum score is 29, although scores have meaning only for an individual patient, as when declining scores over time reveal deterioration. Questions 4 to 7 tend to be gender-specific; modify them as necessary.

1. Can you use the telephone?  
without help â‘¢
with some help 2
completely unable 1

2. Can you get to places beyond walking distance?  
without help â‘¢
with some help 2
not without special arrangements 1

3. Can you go shopping for groceries?  
without help â‘¢
with some help 2
completely unable 1

4. Can you prepare your own meals?  
without help â‘¢
with some help 2
completely unable 1

5. Can you do your own housework?  
without help 3
with some help â‘¡
completely unable 1

6. Can you do your own handyman work?  
without help 3
with some help â‘¡
completely unable 1

7. Can you do your own laundry?  
without help â‘¢
with some help 2
completely unable 1

8a. Do you take medicines or use any medications?  
Yes (If yes, answer Question 8b.)‘ ①
No (If no, answer Question 8c.) 2

8b. Do you take your own medicine?  
without help (in the right doses at the right times) â‘¢
with some help (if someone prepares it for you and/or reminds you to take it) 2
completely unable 1

8c. If you had to take medicine, could you do it?  
without help (in the right doses at the right time) â‘¢
with some help (if someone prepared it for you and reminded you to take it) 2
completely unable 1

9. Can you manage your own money?  
without help â‘¢
with some help 2
completely unable 1

Adapted with permission

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