The patient is independent, can take care of himself and go out, and therefore is not in the SEVERE DISABILITY category. He says he is unable to work and therefore rates as 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)

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)

The fact that he cannot work at all, even though his social activity is close to before the injury, puts him in LOWER MODERATE

Discussion

Additional comment

Actually, in this case it would be a good idea to go into some more depth on the ability to work as there seems to be a discrepancy between the occupational status and the rest of the picture.

Does the patient feel he is unable to work?

Would he be able to work at a reduced rate if offered? Would he perhaps be able to work full time, but are there other reasons unrelated to brain injurypreventing him from doing so?