<%@ page language="C#" masterpagefile="~/HealthCalculators/healthcalcmaster.master" autoeventwireup="true" inherits="HealthCalculators_IADLs, App_Web_0sg8achc" title="Instrumental Activities of Daily Living Scale (IADLs):" meta_keywords="Instrumental Activities of Daily Living Scale,Health Assessment Graph for IADLs Condition, IADLs Health Calculator,Instrumental Activities of Daily Living assessment questionnaire" meta_description="The activities of daily living or ADLs are the basic tasks of everyday life,such as eating,bathing, dressing,toileting,and transferring i.e.getting in and out of a bed or chair.When people are unable to perform these activities,they need help in order to cope,either from other human beings or mechanical devices or both.Poblems performing the activities of daily living cut across diagnoses, but are especially prevalent among persons with arthritis, osteoporosis and stroke. Although persons of all ages may have problems performing the ADLs, prevalence rates are much higher for the elderly than for the nonelderly.1 Within the elderly population, disability rates rise steeply with advancing age and are especially high for persons aged 85 and over." enableEventValidation="false" %>

Instrumental Activities of Daily Living Scale (IADLs):

Health Assessment Graph for IADLs Condition

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Unanswered Questions will be Highlighted in Red.

1. Ability to Use Telephone

Operates telephone on own initiative; looks up and dials numbers. Dials a few well-known numbers. Answers telephone, but does not dial. Does not use telephone at all.

2. Shopping

Takes care of all shopping needs independently. Shops independently for small purchases. Needs to be accompanied on any shopping trip. Completely unable to shop.

3. Food Preparation

Plans, prepares, and serves adequate meals independently. Prepares adequate meals if supplied with ingredients. Heats and serves prepared meals or prepares meals, but does not maintain adequate diet. Needs to have meals prepared and served

4. Housekeeping

Maintains house alone or with occasional assistance (eg, heavy-work domestic help). Performs light daily tasks such as dishwashing, bedmaking. Performs light daily tasks, but cannot maintain acceptable level of cleanliness. Needs help with all home maintenance tasks. Does not participate in any housekeeping tasks.

5. Laundry

Does personal laundry completely. Launders small items; rinses socks, stockings, etc. All laundry must be done by others.

6. Mode of Transportation

Travels independently on public transportation or drives own car. Arranges own travel via taxi, but does not otherwise use public transportation. Travels on public transportation when assisted or accompanied by another. Travel limited to taxi or automobile with assistance of another. Does not travel at all.

7. Responsibility for Own Medications

Is responsible for taking medication in correct dosages at correct time. Takes responsibility if medication is prepared in advance in separate dosages. Is not capable of dispensing own medication.

8. Ability to Handle Finances

Manages financial matters independently (budgets, writes checks, pays rent and bills, goes to bank); collects and keeps track of income. Manages day-to-day purchases, but needs help with banking, major purchases, etc. Incapable of handling money.

Introduction:

The "activities of daily living" or ADLs are the basic tasks of everyday life, such as eating, bathing, dressing, toileting, and transferring (i.e., getting in and out of a bed or chair). When people are unable to perform these activities, they need help in order to cope, either from other human beings or mechanical devices or both. Problems performing the activities of daily living cut across diagnoses, but are especially prevalent among persons with arthritis, osteoporosis and stroke. Although persons of all ages may have problems performing the ADLs, prevalence rates are much higher for the elderly than for the nonelderly.1 Within the elderly population, disability rates rise steeply with advancing age and are especially high for persons aged 85 and over.

Measurement of the activities of daily living is critical because the have been found to be significant predictors of admission to a nursing home,2 use of home care,3 use of hospital services,4 living arrangements,5 overall Medicare expenditures,6 insurance coverage,7 and mortality.8 For research on the elderly, the ability to perform the ADLs has become a standard variable to include in analyses, like age, sex, marital status and income.

Estimates of the number and characteristics of people with problems performing ADLs are also important because of the increasing number of private long-term care insurance policies and proposed public long-term care insurance programs that rely on ADL dependency measures to determine whether an individual qualifies for benefits. For example, private insurance policies sold by John Hancock, Aetna, Travelers, Metropolitan Life and CNA rely on ADL measures as triggers for benefits.9 All of the developed public insurance plans, including those proposed by Senators Mitchell and Kennedy and by Representatives Waxman, Stark and Pepper, do the same. Obviously, the amount of long-term care benefits paid out by such private and public plans will largely depend on the number of persons who meet the various ADL eligibility criteria.

Sources: http://www.geriatricsatyourfingertips.org http://aspe.hhs.gov