A patient requires frequent assistance from others and cannot be left alone for at least eight hours, placing them in the lower severe disability category on the Glasgow Outcome Scale - Extended (GOS-E). To be considered lower severe disability, one needs frequent help from others around the home most of the time and help with everyday activities.

1. Case Study 5: Lower Severe Disability
The patient is dependent on others and
therefore in the SEVERE DISABILITY
category.
E. Upper Severe:
Care: Does not require someone to be
around at home most of the time (for at least
eight hours during the day, if necessary)
Travel: Unable to travel locally without assistance
Shopping: Unable to shop without assistance

2. Case Study 5: Lower Severe Disability
F. Lower Severe:
Care: Requires frequent help of someone
to be around at home most of the time
The observations that he cannot be left alone
for at least eight hours and that he needs help
with everyday activities, qualifies him as Lower
Severe on the GOS-E.