The Lawton instrumental activities of daily living scale
Abstract
Unlabelled By detecting early functional decline, the scale can help nurses with discharge planning. Overview Acute illness or a worsening chronic condition can hasten functional decline in older adults. During hospitalization, reduced mobility and other factors may rapidly decrease an older patient's ability to perform activities crucial for independent living, and the effects might be permanent. The Lawton Instrumental Activities of Daily Living (IADL) Scale assesses a person's ability to perform tasks such as using a telephone, doing laundry, and handling finances. Measuring eight domains, it can be administered in 10 to 15 minutes. The scale may provide an early warning of functional decline or signal the need for further assessment. For a free online video demonstrating use of this assessment, go to http://links.lww.com/A246.
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All participants were independent per the Lawton instrumental activities of daily living scale, scoring 8/8 except one who scored 6/8.
“all participants were independent per the Lawton instrumental activities of daily living scale [33]; all scored 8/8 (i.e., no difficulties), except for one participant who scored 6/8 due to choosing not to drive and receiving reminders to take their medications.”
From A phase I trial of accelerated intermittent theta burst rTMS for amnestic MCI (2024) · cites this paper as [33]
Cites
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
Lawton, M. P., & Brody, E. M. (1969) · The Gerontologist · doi:10.1093/geront/9.3_part_1.179 · Cited by 18,540 · see citing works
The Natural History of Functional Morbidity in Hospitalized Older Patients
Hirsch, C. H., Sommers, L., Olsen, A., Mullen, L., & Winograd, C. H. (1990) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1990.tb03451.x · Cited by 485 · see citing works
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Senolytic therapy in mild Alzheimer's disease: a phase 1 feasibility trial
Gonzales, M. M., Garbarino, V. R., Kautz, T. F., Palavicini, J. P., Lopez-Cruzan, M., Dehkordi, S. K., Mathews, J. J., Zare, H., Xu, P., Zhang, B., et al. (2023) · Nature Medicine · doi:10.1038/s41591-023-02543-w · Cited by 310 · see citing works
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“Lawton’s Instrumental Activities of Daily Living Scale (IADL) (21) determined functional impairment and hand grip strength was assessed using a digital Jamar handgrip dynamometer (Lafayette”
MethodZavagli, V., Raccichini, M., Ostan, R., Ercolani, G., Franchini, L., Varani, S., & Pannuti, R. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-021-06655-2 · Cited by 24 · see citing works
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A phase I trial of accelerated intermittent theta burst rTMS for amnestic MCI
Aghamoosa, S., Lopez, J., Rbeiz, K., Fleischmann, H. H., Horn, O., Madden, K., Caulfield, K. A., Antonucci, M. U., Revuelta, G., McTeague, L. M., et al. (2024) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp-2023-332680 · Cited by 12 · see citing works
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Barakat, Z., Sacre, H., Khatib, S., Hajj, A., BouMalham, C., Haddad, C., Zeenny, R. M., Akel, M., Abbas, L. A., Barakat, M., et al. (2025) · PLOS One · doi:10.1371/journal.pone.0322554 · Cited by 6 · see citing works
- Authors
- Graf, C.
- Affiliations
- University of California San Francisco Medical Center (US)
- Corresponding author
- Graf, Carla
- Venue
- AJN, American Journal of Nursing
- Published
- 2008-04
- Volume
- 108
- Issue
- 4
- Pages
- 52-62
- ISSN
- 0002-936X (ISSN-L)
- OpenAlex
- W2313879745
- Cited by
- 832
- References
- 2
- Citations by year
- 2026: 73 · 2025: 85 · 2024: 124 · 2023: 92 · 2022: 93 · 2021: 83 · 2020: 54 · 2019: 35 · 2018: 43 · 2017: 27 · 2016: 24 · 2015: 17 · 2014: 19 · 2013: 19 · 2012: 14
- FWCI
- 9.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- AJN American Journal of Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Keywords
- instrumental activities of daily living, functional decline, older adults, hospitalization, discharge planning, nursing assessment, early warning, mobility (physical function)
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Female, Humans, Nursing Assessment, Patient Discharge, Pneumonia, Reproducibility of Results, Geriatric Assessment
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