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PIP review AR1 time frames

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5 years 9 months ago #234403 by zaib
Replied by zaib on topic PIP review AR1 time frames
Thank you Gordon , I am on asprin for heart disease doctors at A&E told me be careful you are very high risk brain injury from any head injury beacuse your bllod is thin . I was there after fall on my nose being dizzy and lost balance confused foot caught in foot rest getting out of whelchair. I wait for assitance now. Gp report includes dizziness side effect and balance problems ( arthritis knees and spondylitis back problems ) . I have a weak right hand/arm /shoulder from cancer surgery so been awarded points on this reason for need assistance to cut food to eat. I want to claim 3 points for assistance to in and out of bath tub because it is not safe for me only holding on to wall or edge of bath tub I would at least need to be able to use both hands to hold on something reliably as I move my legs in and then slowly lower myself down to sit on the board and vice versa .But my right hand side is accepted as weak I can not reliably balance with support of left hand only . I am surely at the risk of fall when I lift a leg above the height of bath tub to move over . Assessment says I did not have a fall in bath room before but this is because besides my left hand support I am helped by my husband as well who is there to wash my hair obviously he would not let me risk a fall when getting in or out of bath tub. . I hope I can meet it when you say , {Those assessing you will look at the risk of an injury and the likely severity of one when looking at whether you can do an activity safely, I think they will take the view that a wet floor is avoidable, at the least, you will need to expand on the need for help}.

when it comes to
{Problems with washing your hair will only score you two points, you might be able to score higher for issues washing you back but you will need to show why you could not use an aid to help you do this.}
In this regard the Assessment says , Qoute " she states she cannot wash her hair husband does it for her she cannot lift her right arm that much she does not have strenghth to rub and she cannot wash her upper body as her right arm does not work properly . This is consistent with her reported right arm weakness following her matectomy and auxillary nodes clearance for breast cancer and she has previous physiotherapy on her arm. She declined MSO on informal obsevation she was able to grip a medication box in her left hand and she was able to take a quilt off her leg using right hand but quilt is a light object and she was able to fully bend her right elbow and straighten it and she was obsevered to be able to move her right arm just below shoulder level ". Unqoute
I think on the basis of above I should have been awarded points for need assistance to wash between shoulders and waiste ( on the back side where i cannot do even with an aid because of my right hand side weakness and restriction) . Can I argue this ?
Kind regards

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5 years 9 months ago #234421 by Gordon
Replied by Gordon on topic PIP review AR1 time frames
zaib

If the assessor is confirming that you cannot wash your upper body as they seem to be doing then you should be asking the DM why they have not scored you for this.

Gordon

Nothing on this board constitutes legal advice - always consult a professional about specific problems

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5 years 9 months ago #234440 by zaib
Replied by zaib on topic PIP review AR1 time frames
Qoute {If the assessor is confirming that you cannot wash your upper body as they seem to be doing then you should be asking the DM why they have not scored you for this.

Gordon } Unqoute
Thank you Gordon for above very helpful reply .
The assessor stated all that in the report yet ticked descriptor b) nevertheless, and DM accordingly awarded 2 points for need aid or appliance to wash or bathe... But according to what is actually stated by the assessor in report after ticking b) , I may be right to believe that correct descriptor to be ticked is d) . I have a few days left to send off reasons /evidence for MR . I shall include in my statement of reasons that as per assessor report the correct applicable descriptor is d) not b) .
Kind regards

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5 years 9 months ago #234616 by zaib
Replied by zaib on topic PIP review AR1 time frames
Looking back at HPC report I note that comments after informal observation are different in different activities eg in preparing food , it states "this shows adequate movements but quilt is a light object "but in eating and drinking whole comment is missing in dressing only "but quilt is a light object" is missing . Is it important if either " it shows adequaue movements"is missing as in bathe and washing or "but quilt is light object"is missing in dresssing or both comments are missing in eating and drinking ? IN bathe and washing when the words "it shows adequate movements" is NOT added after "able to move her right arm just below shoulder level " does it imply absence of adequate movement of weak right arm to wash uper body is accepted by HP.? in below
"This is consistent with her reported right arm weakness following her mastectomy and auxillary nodes clearance for breast cancer and she has previous physiotherapy on her arm. She declined MSO on informal obsevation she was able to grip a medication box in her left hand and she was able to take a quilt off her leg using right hand but quilt is a light object and she was able to fully bend her right elbow and straighten it and she was obsevered to be able to move her right arm just below shoulder level."

In preparing food the comment "it shows adequate movemnt but quilt is a light object" should allow me to argue I cannot do some heavy things even with an aid eg cutting with kitchen knife? so need assistance for some .
Kind regards

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5 years 9 months ago #234625 by BIS
Replied by BIS on topic PIP review AR1 time frames
Hi Zaib

I would be arguing that the manual dexterity required to move a light quilt (with your right arm) is completely different from the movement needed to hold a knife, and cut (safely and reliably) and it certainly is entirely different from trying to lift a bag of potatoes or a saucepan (full of veg and boiling water - all of which you may argue you need someone else to do.

BIS

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5 years 9 months ago #234664 by zaib
Replied by zaib on topic PIP review AR1 time frames
BIS thank you so much . May I please ask the implications when Assessor reports,
“she was obsevered to be able to move her right arm just below shoulder level."
Is it not a confirmation of restriction of Right arm movement?
But assessor also states she was observed to be able to fully bend and straighten her Right elbow. Then concludes this shows normal movements of both arms.
My problem as a right handed is Right arm Weakness and restriction so much affects performance that I cannot do activity properly even with an aid or appliance so I need someone to help dressing (doing bra and pulling over the head ) and washing upper back.
Would my above statement be negated if I can raise my Right arm to just below shoulder level? as assessor reprted.
Kind regards

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