Indicators of severe functional restriction
The following difficulties are suggestive of a child with a severe functional restriction -:
- On iron chelation therapy
- Persistent neurological deficits following stroke or cerebral haemorrhage
- Seizures and epilepsy
- Long term lung damage, including chronic pulmonary hypertension, causing breathing difficulties
- Enlarged heart (cardiomyopathy) and heart failure
- kidney damage
- visual defects
