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

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.

Case Study 5: Lower Severe Disability