Non-specific symptoms of malaise and fatigue resolve, and it is unlikely that they would be severe enough to limit normal daily activities.

People with mild liver failure are unlikely to have any persistent functional restrictions affecting physical mobility.

There is unlikely to be a need for guidance or supervision outdoors.

People with mild liver failure are unlikely to have any persistent functional restrictions affecting care.

The degree of functional limitation experienced by someone with chronic liver disease is caused mainly by liver failure. The individual features of each impairment need to be considered. There is likely to be persistent jaundice, muscle weakness, low body weight, poor nutritional status, susceptibility to infection, increasing ascites and portal hypertension are all indicators of an increasing level of functional limitation.

Mobility may be limited due to severe fatigue and muscle weakness.

There is unlikely to be a need for guidance or supervision outdoors.

Typically there may be increasing need for help with washing, dressing, stairs, rising from a chair etc. over time.

Many people with end stage liver failure may be receiving palliative care only and their life expectancy may be expected to be less than six months.

Walking is likely to be significantly restricted. This will include people awaiting a liver transplant.

People with hepatic encephalopathy may have a requirement for guidance or supervision out of doors resulting from long-term cognitive impairment.

People with advanced liver failure, including all the complications described under the moderate category, are likely to require help with self-care. They may need help with moving around the house, rising from a chair, supervision of medication, and may be prone to falls.

People with hepatic encephalopathy may need supervision as a result of confusion, disorientation, drowsiness, abnormal behaviour and inability to think in a rational manner.