The patient requires frequent assistance from others and cannot be left alone for extended periods or travel locally without help. Observations that he needs someone around for at least 8 hours and assistance with daily activities qualifies him as having lower severe disability according to the Glasgow Outcome Scale - Extended criteria.

1. Discussion
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 8-hours during the day, if necessary)
Travel: Unable to travel locally without assistance
Shopping: Unable to shop without assistance
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 8 hours and
that he needs help with everyday activities, qualifies him as Lower
Severe on the GOS-E