Case 6: Discussion

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Case 6: Discussion

  1. 1. DiscussionThe patient is independent, can take care of himself and go out, and thereforeis not in the SEVERE DISABILITY category. He says he is unable to work andtherefore rates as MODERATE DISABILITY.C. Upper Moderate:Work capacity: ReducedSocial activities: Resumed less than half as often as pre-injuryDisruption or Strain: Frequent (once a week or more but tolerable)D. Lower Moderate:Work capacity: Unable to work or only able to work in sheltered workshopSocial activities: Unable or rarely to participateDisruption or Strain: Constant (daily and intolerable)The fact that he cannot work at all, even though his social activity is close tobefore the injury, puts him in LOWER MODERATE
  2. 2. Additional commentActually, in this case it would be a good idea to gointo some more depth on the ability to work as thereseems to be a discrepancy between the occupationalstatus 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 arethere other reasons unrelated to brain injurypreventing him from doing so?

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