GOS Rating: The patient is independent, able to get around and take care of himself, so is not in the SEVERE DISABILITY category. The patient is not able to work, but this is not due to his traumatic brain injury. He feels he could work if it were not for the consequences of the leg injury and the aneurysm. Therefore, he should be scored as a GOOD RECOVERY. GOS-E Rating: There are a number of symptoms that bother him, and they could be related to the traumatic brain injury. This would make him a LOWER GOOD on the GOS-E. Case Study 7: Lower Good Disability

Additional Considerations: This case illustrates the importance of separating out disability based on Traumatic Brain Injury from disability based on other trauma (e.g. multiple leg injuries) or another condition not related to the trauma at all (the aneurysm) Only if the inability to work, or to resume pre-injury activities is due to TBI should this lead to a lower GOS rating Case Study 7: Lower Good Disability