1. Superior
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No symptoms; physically able; excellent relationships with family and friends; wide range of extra-curricular activities; doing well at school/preschool; developing normally; everyday problems never get out of hand.
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2. Good in all areas
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Virtually no symptoms; usually copes well; physically able; good relationships; normal play & leisure activities; school/preschool OK; may have problems when stressed but these are short lived and only occasionally get out of hand.
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3. No more than slight problems
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Some significant symptoms, only briefly get out of hand; sometimes child gets distressed; short term or little interference with mobility or relationships or play & leisure activities; school/preschool may be slightly affected or affected for a short time.
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4. Some difficulty in a single area but generally pretty well
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Mild symptoms which recover quickly with treatment; any distress or disability does not stop child from doing most things at that age; some anxiety or irritability or brief mood changes; minor effect on mobility or school/preschool or relationships or play & leisure activities; problems may persist but may only be recognized by those who know the child.
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5. Variable problems in some but not all areas
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Moderate symptoms have significant disabling effect on child; minor to moderate effect on mobility; school/preschool may be affected; may need special education; in some situations may seem O.K.; mainly managed in outpatient clinic or family doctor.
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6. Severe problems in one area OR moderate problems in most areas
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Severe symptoms having a major effect on child’s life; restricted mobility; relationships or play & leisure activities are affected; child is distressed or has difficult behavior; some relationships are maintained; learning difficulties or problems with or missing school; likely to have been seen by specialist.
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7. Major problems in several areas AND unable to function in one of these areas.
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Severe, almost constant symptoms; child is distressed, withdrawn or has strange or aggressive behaviour; significant limitations on mobility or school/preschool or relationships or play & leisure activities; specialist management needed.
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8. Unable to function in almost all areas
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Very severe symptoms; child is very distressed; likely to be confined to bed; unable to go to school/preschool; may be in hospital but child is not entirely dependent on others.
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9. Needs nursing supervision
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Confined to bed; in hospital; very severe symptoms but stable; needs help with self-care which a child the same age can do without help.
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10. Needs constant supervision |
High (24 hrs) medical dependence e.g. In intensive care unit; life-threatening symptoms. |