Case Study 9: Upper Moderate DisabilityThe patient is independent, can take care ofherself and go out alone. She therefore is notin the SEVERE DISABILITY category. Shehas resumed her volunteer work but at areduced level, which means a GOS rating ofMODERATE 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 9: Upper Moderate DisabilityD. 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)Her family visits her a lot, but it appears her socialactivities have decreased and there is frequent but notconstant strain. Upper Moderate on the GOS-E.
Case Study 9: Upper Moderate DisabilityAdditional Considerations: For a retired person the occupational status can be evaluated by comparing the amount of volunteer work, if any, or household responsibilities pre and post-injury It is important to differentiate the inability to resume activities from other situations that are not related to the TBI