Introduction
The onset of age-related changes in physical and cognitive abilities can significantly impact the quality of
life of older adults. Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) are
both measures of functional independence that allow us to assess the level of disability or disability risk
of an individual. Knowing the difference between the two and understanding how to prevent, avoid, or
limit losses in physical frailty and cognitive failure can make a tremendous difference in the lives of older
adults.
ADLs and IADLs
Activities of Daily Living (ADLs) are basic activities of self-care such as eating, bathing, dressing, toileting,
and transferring from a bed to a chair. These activities are essential for independent living and are
generally considered to reflect a person’s physical abilities. Instrumental Activities of Daily Living (IADLs)
are activities that are more complex than basic ADLs and require a higher level of cognitive function.
These activities include shopping, managing finances, preparing meals, taking medications, and
managing housework. ADLs and IADLs are both important indicators of functional ability and disability
risk, and understanding the differences between the two is essential for providing appropriate care and
support.
Impact of Losing Abilities
The inability to perform ADLs or IADLs can have a significant impact on an individual’s quality of life. Loss
of physical abilities can lead to a decrease in mobility and an increased risk of falls and other injuries.
Loss of cognitive abilities can lead to difficulty managing finances and medications, as well as an
increased risk of exploitation. Furthermore, the inability to perform ADLs or IADLs can lead to social
isolation, depression, and an overall decrease in quality of life.
Preventing or Limiting Losses
Given that most of us will encounter problems with ADLs/IADLs if we live into old age, it is important to
consider how our society, families, and the older person themselves can either prevent or avoid losses,
or provide support for people who are experiencing such losses.
Suggestions
1. Home Safety Modifications: Home safety modifications can help to prevent falls and other injuries,
and can be beneficial for both ADLs and IADLs. Examples of home safety modifications include installing
handrails and grab bars in the bathroom, installing non-slip mats in the bathtub or shower, and
removing rugs or other items that may cause tripping. Home safety modifications can also include
installing adequate lighting and making sure that appliances and other items are easy to reach.
2. Cognitive Stimulation Activities: Cognitive stimulation activities can help to prevent or delay cognitive
decline, and can be beneficial for both ADLs and IADLs. Examples of cognitive stimulation activities
include completing crossword puzzles and other word games, playing board games, and engaging in
social activities. Other activities such as reading, writing, and using the computer can also help to
maintain cognitive abilities.