Daily living component activity 3 descriptor D (4 points)
Needs supervision, prompting or assistance to be able to manage therapy that takes more than 3.5 but no more than 7 hours a week.
You should note that the same kinds of therapy are relevant to descriptor D as to descriptor C.
Here is an example of an individual who undergoes home dialysis for 3 hours on Monday and 3 hours on Friday each week and who requires supervision throughout the duration of the dialysis.
The supervision required each week totals 6 hours as supervision continues throughout the 3 hour dialysis process, 2 days per week.
Daily living component activity 3 descriptor D is likely to apply as the total time they are supervised to manage the therapy is more than 3.5 but no more than 7 hours a week.
Example: an individual with oedema of the legs who satisfies daily living component activity 3 descriptor D
Gerry has leg ulcers because of oedema (swelling) in both of his legs. He:
- has completed the ADP application form and
- has a support letter from his practice nurse
Application and supporting information
The letter describes how the nurses visit him at home to change the dressings on his legs, because his mobility means that he is unable to get to the doctor’s surgery.
In his application he explains that the nurses visit him every other day to change the dressings on both of his legs.
In the nurse’s letter it explains that:
- because of the swelling of his legs, Gerry is unable to do the dressings himself and they’ve been changing the dressings for more than a year
- he has a condition of his legs that makes them slow to heal and so the letter says they do not anticipate being able to stop the dressings in the next 12 months.
The application form shows that the nurses spend around 1 hour at his house every other day changing the dressings.
As Gerry is unable to change his dressings himself, he needs someone else who is suitably qualified to do this for him.
Case manager’s decision
The case manager determines that Gerry satisfies daily living component activity 3 descriptor D because he requires the therapy for more than 3.5 hours but no more than 7 hours each week.