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Case Study 6: Lower Moderate Disability

The patient is independent, can take care of
himself and go out, and therefore is not in
the SEVERE DISABILITY category. He
says he is unable to work and therefore rates
as MODERATE DISABILITY.
C. Upper Moderate:
   Work capacity: Reduced
   Social activities: Resumed less than half as
   often as pre-injury
   Disruption or Strain: Frequent (once a week or
   more but tolerable)
Case Study 6: Lower Moderate Disability

D. Lower Moderate:
   Work capacity: Unable to work or only
   able to work in sheltered workshop
   Social activities: Unable or rarely to
   participate
   Disruption or Strain: Constant (daily and
   intolerable)
The fact that he cannot work at all, even though his
social activity is close to before the injury, puts him in
LOWER MODERATE.
Case Study 6: Lower Moderate Disability

Additional Considerations:
 Actually, in this case it would be a good
 idea to go into some more depth on the
 ability to work as there seems to be a
 discrepancy between the occupational status
 and the rest of the picture
 Does the patient feel he is unable to work?
 Would he be able to work at a reduced rate if offered?
 Would he perhaps be able to work full time, but are
 there other reasons unrelated to brain injury
 preventing him from doing so?

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Case 6 Discussion

  • 1. Case Study 6: Lower Moderate Disability The patient is independent, can take care of himself and go out, and therefore is not in the SEVERE DISABILITY category. He says he is unable to work and therefore rates as MODERATE DISABILITY. C. Upper Moderate: Work capacity: Reduced Social activities: Resumed less than half as often as pre-injury Disruption or Strain: Frequent (once a week or more but tolerable)
  • 2. Case Study 6: Lower Moderate Disability D. Lower Moderate: Work capacity: Unable to work or only able to work in sheltered workshop Social activities: Unable or rarely to participate Disruption or Strain: Constant (daily and intolerable) The fact that he cannot work at all, even though his social activity is close to before the injury, puts him in LOWER MODERATE.
  • 3. Case Study 6: Lower Moderate Disability Additional Considerations:  Actually, in this case it would be a good idea to go into some more depth on the ability to work as there seems to be a discrepancy between the occupational status and the rest of the picture  Does the patient feel he is unable to work?  Would he be able to work at a reduced rate if offered? Would he perhaps be able to work full time, but are there other reasons unrelated to brain injury preventing him from doing so?