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Daily living scales: how much help is needed

Two scales widely used in geriatric care, in a simple version: Katz (basic activities of daily living) and Lawton (instrumental activities). Answer based on what your loved one does today, not what they could do.

Guidance, not a diagnosis. Your answers never leave this browser.

Katz Index (basic activities of daily living)

Six personal care activities. One point for each one done without help from another person.

Bathing
Dressing
Toileting
Transferring
Continence
Feeding

Lawton Scale (instrumental activities of daily living)

Eight activities needed to live independently. One point for each one they handle on their own.

Using the telephone
Shopping
Food preparation
Housekeeping
Laundry
Transportation
Medications
Finances

Frequently asked questions

Does this scale replace a medical assessment?
No. It is a guide to help you organize what you see. A formal assessment is done by a doctor, nurse, social worker or occupational therapist; in a hospital, by the discharge planner.
What is the result useful for?
To talk with the doctor and with the places you visit: how much help your loved one needs in daily life helps you decide between staying at home with support, an adult day center, assisted living or a nursing home. Medicaid and long-term care insurance use similar assessments (activities of daily living, or ADLs).
Are my answers saved?
No. Everything is calculated in your browser and nothing is sent.

Based on Katz S. et al., JAMA 1963, and Lawton M. P. and Brody E. M., The Gerontologist 1969, simplified for families, in English and Spanish.

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