The patient is independent, can take care of herself and go out alone. She therefore is not in the SEVERE DISABILITY category. She has resumed her volunteer work but at a reduced level, which means a GOS rating of MODERATE 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 Disability

D. 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 social activities have decreased and there is frequent but not constant strain. Upper Moderate on the GOS-E.

Case Study 9: Upper Moderate Disability

Additional 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

Case Study 9: Upper Moderate Disability