Edit, Download, and Sign the Instrumental Activities of Daily Living Scale

Form

eSign

Email

Add Annotation

Share Form

How do I fill this out?

To fill out this form, review each category carefully. Select the item description that closely matches the individual’s highest functional level. Circle the corresponding score to accurately assess the individual's capabilities.

imageSign

How to fill out the Instrumental Activities of Daily Living Scale?

  1. 1

    1. Read each section of the form relevant to daily living skills.

  2. 2

    2. Assess the individual's capabilities in each category.

  3. 3

    3. Circle the score that best reflects their highest functional ability.

  4. 4

    4. Add up the scores in each section for a total.

  5. 5

    5. Use the summary score to determine the level of independence.

Who needs the Instrumental Activities of Daily Living Scale?

  1. 1

    Healthcare professionals assessing elderly patients for independent living.

  2. 2

    Social workers developing care plans for older adults.

  3. 3

    Family caregivers evaluating the support needs of their loved ones.

  4. 4

    Rehabilitation therapists providing tailored rehabilitation services.

  5. 5

    Nursing facilities determining resident care requirements.

How PrintFriendly Works

At PrintFriendly.com, you can edit, sign, share, and download the Instrumental Activities of Daily Living Scale along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

thumbnail

Edit your Instrumental Activities of Daily Living Scale online.

Editing this PDF on PrintFriendly is simple and efficient. You can easily modify the content to better suit your needs. The editing tools allow you to personalize the document effectively.

signature

Add your legally-binding signature.

You can sign the PDF on PrintFriendly using our user-friendly signing tool. Simply upload your signature and place it where needed. This feature enables a professional touch to your documents.

InviteSigness

Share your form instantly.

Sharing the PDF is effortless with PrintFriendly. Use the share options to send the document via email or social media. Collaborating with others becomes seamless.

How do I edit the Instrumental Activities of Daily Living Scale online?

Editing this PDF on PrintFriendly is simple and efficient. You can easily modify the content to better suit your needs. The editing tools allow you to personalize the document effectively.

  1. 1

    1. Open the PDF in PrintFriendly.

  2. 2

    2. Select the text you wish to edit.

  3. 3

    3. Make the necessary changes directly within the document.

  4. 4

    4. Save your edits as needed.

  5. 5

    5. Download or share the updated PDF.

What are the instructions for submitting this form?

To submit the completed form, send it via email to your designated care manager or fax it to the appropriate number located on the form. For online submissions, ensure you follow the provided link on your healthcare service's website. Always make a copy for your records before submitting.

What are the important dates for this form in 2024 and 2025?

The Lawton IADL Scale is relevant throughout the year for ongoing assessments of older adults. Providers should consider scheduling assessments quarterly to monitor changes in functional abilities.

importantDates

What is the purpose of this form?

The purpose of the Lawton IADL Scale is to assess the independence of older adults in performing daily tasks necessary for living within the community. It helps healthcare providers identify the level of support an individual may require. Regular assessments using this form can aid in tailoring rehabilitation plans and ensuring adequate care.

formPurpose

Tell me about this form and its components and fields line-by-line.

The form includes various fields that evaluate different domains of instrumental activities of daily life.
fields
  • 1. Ability to Use Telephone: Assess the individual's capability to operate and communicate using a telephone.
  • 2. Shopping: Evaluate the individual's ability to perform shopping tasks independently.
  • 3. Food Preparation: Determine the individual's skills in preparing and serving meals.
  • 4. Housekeeping: Assess the individual’s ability to maintain their living environment.
  • 5. Laundry: Evaluate the individual's capability in managing their personal laundry.
  • 6. Mode of Transportation: Assess the individual's transportation options and independence.
  • 7. Responsibility for Own Medications: Evaluate the individual’s ability to manage their medications.
  • 8. Ability to Handle Finances: Assess the individual’s capacity to handle financial matters.

What happens if I fail to submit this form?

If the form is not submitted, important assessments may be overlooked, which can impact care planning. Unrecorded functional limitations could lead to inadequate support services.

  • Inadequate Care Planning: Failure to identify needs may result in insufficient care strategies for the individual.
  • Increased Risk of Decline: Without proper assessments, older adults may experience further decline in their functional abilities.
  • Delays in Service Provision: Not submitting the form could delay essential services tailored to the individual’s needs.

How do I know when to use this form?

Use this form when assessing the functional status of older adults, particularly during initial evaluations or at regular intervals to monitor changes. It is ideal for situations requiring detailed insight into an individual's daily living capabilities.
fields
  • 1. Admission Assessments: Use during admission to care facilities to evaluate initial needs.
  • 2. Routine Check-Ups: Utilize this form during routine evaluations to track functional changes.
  • 3. Care Plan Development: Essential for developing tailored care plans for individuals.

Frequently Asked Questions

What is the Lawton IADL Scale?

The Lawton Instrumental Activities of Daily Living Scale is an assessment tool used to evaluate the functional status of older adults.

How do I fill out the IADL Scale?

Review each category, select the appropriate score based on the individual's ability, and total the scores.

Can I edit the PDF on PrintFriendly?

Yes, you can easily edit the PDF using our intuitive editing tools.

How do I share this PDF?

You can share the PDF directly through email or social media platforms using PrintFriendly.

Is this form necessary?

Yes, this form is important for assessing the needs of older adults in various care settings.

What are the key functions measured by the IADL?

The key functions include managing medications, housekeeping, food preparation, and handling finances.

Who should complete this form?

Healthcare professionals, caregivers, and social workers are encouraged to complete this form.

Is training required to use this form?

No special training is needed, but familiarity with the assessment process is helpful.

How can I ensure accurate scoring?

Carefully assess each area and choose the best description that matches the individual's capacity.

Can this form help with discharge planning?

Absolutely, it provides essential information about an individual’s capabilities for safe discharge.

Related Documents - IADL Scale Form

https://www.printfriendly.com/thumbnails/00c3187b-714a-46e1-b838-63cb55d99033-400.webp

Preparticipation Physical Evaluation Form

The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.

https://www.printfriendly.com/thumbnails/0044f6bb-200d-4feb-af5e-5418c7c49f5b-400.webp

Health Insurance Tax Credits Guide 2015

This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.

https://www.printfriendly.com/thumbnails/004d5be1-e317-4428-8e2a-abdae34e3104-400.webp

TSP-77 Partial Withdrawal Request for Separated Employees

The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.

https://www.printfriendly.com/thumbnails/00130a9c-16ca-4288-b930-d1b35cfc98a5-400.webp

Ray's Food Place Donation Request Form Details

This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.

https://www.printfriendly.com/thumbnails/0068df9b-4e3c-483a-b634-e4a14e1ac2d7-400.webp

Pastoral Ministry Evaluation Form for Board of Elders

This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.

https://www.printfriendly.com/thumbnails/006523dd-df32-4387-b7ec-377b657bab81-400.webp

Health Provider Screening Form for PEEHIP Healthcare

This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.

https://www.printfriendly.com/thumbnails/00bd082a-fe2f-430f-9aec-8e73104dc545-400.webp

Common Law Marriage Declaration Form for FEHB Program

This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.

https://www.printfriendly.com/thumbnails/0081b68c-5987-40c0-8165-6c4e6bc8ca16-400.webp

MyPRALUENT™ Enrollment Form Instructions and Details

This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.

https://www.printfriendly.com/thumbnails/0018a923-2651-48d9-a13e-33e539f837c5-400.webp

Application for Certified Copy of Birth Certificate

This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.

https://www.printfriendly.com/thumbnails/00180268-d199-44a7-8663-4a56cc1c8a54-400.webp

Torrance Memorial Physician Network Forms for Patients 18+

This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.

https://www.printfriendly.com/thumbnails/009686d3-b5a9-4a32-8146-5b45159f41f6-400.webp

Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone

This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.

https://www.printfriendly.com/thumbnails/0088f689-5aa6-4002-a99c-c65d49060780-400.webp

Texas Automobile Club Agent Application Form

This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.