Im so confused
Hi everyone, I just received a copy of my PA4 assessment report and I’m feeling really discouraged. The assessor (a nurse) seems to have completely contradicted herself throughout the document.
The contradictions:
• Washing/Dressing: On page 5 and 6, she wrote down that my mum has to help me wash and help me dress my lower body because of my severe abdominal/kidney pain. However, on the scoring pages (13 and 15), she gave me 0 points, claiming I can do it unaided because I have "no diagnosed upper or lower limb conditions."
• Nutrition/Medication: She noted I have slurred speech and confusion when stressed, but gave me 0 points for Communicating and Managing Meds, saying my concentration issues are "not in scope."
• Mobility: I told her I struggle to walk 20 meters without stopping for pain. She wrote this down, but then gave me 0 points for Moving Around, stating I can walk over 200m because I don't have a "physical limb diagnosis."
The only points awarded:
• She gave me 2 points for "Managing toilet needs/incontinence" because she accepted I use pads for my recurring UTIs and lack of bladder sensation.
The problem:
The nurse seems to be "discounting" all my physical struggles because my diagnosis is internal (kidney/bladder/abdominal pain) rather than a broken bone or a limb deformity. She is recommending a total of only 2 points for Daily Living and 0 for Mobility.
Has anyone dealt with a report where the "Clinical History" notes prove you need help, but the "Descriptor" scores say you don't? How do I best point this out during Mandatory Reconsideration?