Katz Index Of Independence In Activities Of Daily Living (Page 2 of 4) in pdf

Patient Name:______________________

Date:_____________

Patient ID #________________________

LAWTON - BRODY

INSTRUMENTAL ACTIVITIES OF DAILY LIVING SCALE (I.A.D.L.)

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-looks

1. Does personal laundry completely

up and dials numbers, etc.

2. Launders small items-rinses stockings, etc.

2. Dials a few well-known numbers

3. All laundry must be done by others

3. Answers telephone but does not dial

4. Does not use telephone at all

B. Shopping

F. Mode of Transportation

1. Takes care of all shopping needs

1. Travels independently on public transportation or

independently

drives own car

2. Shops independently for small purchases

2. Arranges own travel via taxi, but does not

3. Needs to be accompanied on any shopping

otherwise use public transportation

trip

3. Travels on public transportation when

4. Completely unable to shop

accompanied by another

4. Travel limited to taxi or automobile with

assistance of another

5. Does not travel at all

C. Food Preparation

G. Responsibility for Own Medications

1. Plans, prepares and serves adequate meals

1. Is responsible for taking medication in correct

independently

dosages at correct time

2. Prepares adequate meals if supplied with

2. Takes responsibility if medication is prepared in

ingredients

advance in separate dosage

3. Heats, serves and prepares meals, or

3. Is not capable of dispensing own medication

prepares meals, or prepares meals but does

not maintain adequate diet

4. Needs to have meals prepared and served

D. Housekeeping

H. Ability to Handle Finances

1. Maintains house alone or with occasional

1. Manages financial matters independently

assistance (e.g. "heavy work domestic help")

(budgets, writes checks, pays rent, bills, goes to

2. Performs light daily tasks such as dish

bank), collects and keeps track of income

washing, bed making

2. Manages day-to-day purchases, but needs help

3. Performs light daily tasks but cannot

with banking, major purchases, etc.

maintain acceptable level of cleanliness

3. Incapable of handling money

4. Needs help with all home maintenance

tasks

5. Does not participate in any housekeeping

tasks

Score

Total score__________________

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.

Source: try this: Best Practices in Nursing Care to Older Adults, The Hartford Institute for Geriatric Nursing,

New York University, College of Nursing,

Katz Index Of Independence In Activities Of Daily Living Page 2

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