Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:70:p9
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 70 (pt 9/25)
Character Range: 216669–220222

with that of peers.
                                           Memory similar to that of peers: written notes, etc., used in the manner of busy people of all ages.
TEN                                        Mild impairment: appropriate use is made of accumulated knowledge and reasonable judgement is shown in routine daily activities most of the time. Difficulties are apparent in new circumstances.
                                           Mild but demonstrable impairment of memory: misplaces objects, and has increased difficulty in remembering names and appointments. Can learn, although at a slower rate than previously. Impairment has little impact on everyday activity because of compensation through reliance on written notes, schedules, checklists and spouse.
TWENTY- FIVE                               Moderate impairment of memory: has frequent difficulty in recalling details of recent experiences; frequently misplaces objects; fails to follow through with intentions or obligations; tends to get lost more easily in unfamiliar areas. Compensation through use of aids, eg. lists and diaries, is adequate.
                                           Moderate impairment of problem solving ability, relies on accumulated knowledge. Suffers significant disadvantage in circumstances requiring complex decision-making or non-routine activities, i.e. when past decision-making is not directly relevant. Has reduced initiative, spontaneity, and capacity for abstract thinking.
FORTY                                     Symptoms as above, but more frequent and severe. Is partially able to compensate, but unable to function with complete independence, and needs some supervision.
SIXTY                                      Severe impairment: has difficulty in carrying out basic activities such as sequencing the steps needed for dressing and for preparing meals.
                                           Planning/organisational ability is reduced. Is unable to function independently in new or complex situations. Shows markedly reduced initiative and spontaneity, and perseverative thinking.
                                           Severe memory deficiency: is unable to retain any information about recent experiences. New learning is not possible after attention has been directed elsewhere. Is unable to work or live independently, needing supervision to avoid harm, e.g. from fire caused by forgetting to put out cigarettes or to turn off appliances. Has extreme difficulty in keeping track of finances, scheduled activities, social relationships, etc.
SEVENTY                                    Gross impairment: is unable to initiate and sustain activities without supervision. Supervision and prompting are required for virtually all daily activity. Is unable to plan a course of action for the simplest activity.
                                           Gross amnesic syndrome: is unable to acquire or recall new information. Constant supervision and care are required. Unable to recognise family, own reflection in mirror, etc. Is disoriented in familiar surroundings.

No age adjustment permitted for this table

Communication

Communication has two elements: comprehension and expression. "Comprehension" means "understanding". It includes understanding of speech and gestures, recognition of sights and sounds, spatial and temporal orientation. "Expression" is the capacity to convey the content of one's mind to others.

Comprehension and expression are to be rated separately, by applying Tables 5.2 and 5.3