1. Case Study 7: Lower Good Disability
The patient is independent, able to get around
and take care of himself, so 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.
A. Upper Good:
Return to normal life and NO current problems
relating to the injury that affect daily life (dizziness,
headache, and sensitivity to noise or light, slowness,
memory failure, concentration problems)

2. Case Study 7: Lower Good Disability
B. Lower Good:
Return to normal life BUT current
problems relating to the injury that affect
daily life (dizziness, headache, and
sensitivity to noise or light, slowness,
memory failure, concentration problems)
Social activities: Resumed at least half as often as
pre-injury
Disruption or Strain: Occasional (less than once
per week)
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.

3. 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