Disabling Effects

People with this level of restriction may experience persistent swelling (effusions) of their fingers, shoulder, elbow and/or wrist. Deformity of some or all of these joints may be present, together with reduced range of movement. Pain and joint stiffness would be present on rising in the morning, or following prolonged inactivity, for up to one hour. Painful and/or restricted neck movements may occur, but without any neurological signs (pins and needles) in the arms. However, there may be periods of “flare-ups” when increased help is needed with self-care. A “flare-up” typically lasts between 10 to 14 days.

Mobility

A person with moderate restriction would normally have no physical difficulty in getting around. Nor would they require guidance or supervision.

Care

A person with moderate restriction may need help with getting out of bed, and with dressing and washing.

Reliance on simple kitchen aids and prescribed assistive equipment such as dressing aids or the occasional use of splints is probable.

The ability to care for themselves during the majority of the day however, including preparing a main meal for one, would not be significantly restricted. They would not need supervision or watching over.