.| .| Lawton-Brody Instrumental Activities of Daily Living Scale (IADL)| | Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>| Location: <.Location.>| | Veteran:
<.Patient_Name_Last_First.>| SSN: <.Patient_SSN.>| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)| Gender: <.Patient_Gender.>| | IADL Scale: <-IADL Scale->| A low score indicates dependence on
others to help with daily activities. A high score indicates independent living. Range is 0 to 8.| | | Questions and Answers| | 1. Ability to use telephone| <*Answer_4864*>| 2. Shopping|
<*Answer_5131*>| 3. Food Preparation| <*Answer_5177*>| 4. Housekeeping| <*Answer_5179*>| 5. Laundry| <*Answer_5183*>| 6. Mode of Transportation| <*Answer_5184*>| 7.
Responsibility for own medications| <*Answer_5185*>| 8. Ability to Handle Finances| <*Answer_5190*>| | Copyright (c) The Gerontological Society of America.| | Information contained in this
note is based on a self-report assessment and is not sufficient to use alone for diagnostic purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic
activities and procedures.| $~
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