Document ID: chunk:federal_register_of_legislation:F2023L00188:clause:1_30:p1
Version: federal_register_of_legislation:F2023L00188
Segment Type: clause
Provision Reference: sch 1 cl 30 (pt 1/2)
Character Range: 23622–26695

30      There is an extreme functional impact on activities requiring physical exertion or stamina.

            (1) The person:

                 (a) is unable to perform activities requiring physical exertion or stamina; or

                 (b) experiences symptoms such as extreme shortness of breath, extreme fatigue or pain when performing any activities requiring physical exertion or stamina and, due to these symptoms, the person is unable to move around inside the home without assistance; or

                 (c) is unable to undertake personal care activities and needs assistance to use the bathroom or is reliant on bed baths or using wet wipes. Such activities result in severe fatigue; or

                 (d) is bedbound.

            Note: this impairment rating level includes people who require Oxygen treatment.

             Example: requiring the use of an Oxygen concentrator during the day or to move around.

Table 2 – Upper Limb Function

Introduction to Table 2

       * Table 2 is to be used to assess the functional impact of a diagnosed condition when performing activities requiring the use of upper limbs.

       * The diagnosis of the condition causing the impairment must be made by an appropriately qualified medical practitioner.

       * There must be corroborating evidence of the person's impairment.

       * Self-report of symptoms must be supported by corroborating medical evidence.

       * Examples of corroborating evidence for the purposes of this Table include, but are not limited to, the following:

         * a report from the person's treating doctor;

         * a report from a medical specialist confirming diagnosis of conditions associated with upper limb impairment (such as arthritis or other condition affecting upper limb joints, paralysis or loss of strength or sensation resulting from stroke or other brain or nerve injury, cerebral palsy or other condition affecting upper limb coordination, inflammation or injury of the muscles or tendons of the upper limbs, chronic pain affecting the upper limbs, amputation or absence of whole or part of upper limb, lymphoedema, or peripheral neuropathy);

         * a report from an allied health practitioner (such as physiotherapist, occupational therapist or exercise physiologist) confirming the functional impact;

         * results of diagnostic tests (such as X-Rays or other imagery);

         * results of physical tests or assessments.

       * For the purposes of this Table, upper limbs extend from the shoulder to the fingers.

       * If a person's dominant upper limb is impaired, consideration should be given to their ability to adapt and use their non-dominant upper limb to perform tasks.

       * When determining whether a descriptor applies that involves a person performing an activity, the descriptor applies if that person can do the activity when they would be expected to do so and not only once or rarely.

       * When assessing episodic or fluctuating impairments and conditions (such as chronic pain), a rating must be