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DEFINITIONS
By Staff Reporters
SPONSOR: http://www.CertifiedMedicalPlanner.org
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Instrumental Activities of Daily Living (IADLs)
According to Leslie Kernisan MD MPH, these are the basic self-care tasks that we initially learn as very young children. These are the self-care tasks we then learn as teenagers. They require more complex thinking skills, including organizational skills. They include:
- Managing finances, such as paying bills and managing financial assets.
- Managing transportation, either via driving or by organizing other means of transport.
- Shopping and meal preparation. This covers everything required to get a meal on the table. It also covers shopping for clothing and other items required for daily life.
- Housecleaning and home maintenance. This means cleaning kitchens after eating, keeping one’s living space reasonably clean and tidy, and keeping up with home maintenance.
- Managing communication, such as the telephone and mail.
- Managing medications, which covers obtaining medications and taking them as directed.
Because managing IADLs requires a fair amount of cognitive skill, it’s common for IADLs to be affected when an older person is having difficulty with memory or thinking. For those older adults who develop Alzheimer’s disease or a related dementia, IADLs will usually be affected before ADLs are.
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IADLs were defined about ten years after ADLs, by a psychologist named M.P. Lawton. Dr. Lawton felt there were more skills required to maintain independence than were listed on the original Katz ADL index, and hence created the “Lawton Instrumental Activities of Daily Living Scale.”
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Filed under: Ask a Doctor, Ethics, Experts Invited, Glossary Terms, LifeStyle, mental health | Tagged: activities daily living, ADL, dementia, Ethics, IADLs, inspiration, Instrumental Activities of Daily Living, Leslie Kernisan MD, mental health, MP Lawton, psychology, self-improvement, Sidney Katz |
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