P A R T C D e c i s i o n u n d e r A p p e a l T h e d e c i s i o n u n d e r a p p e a l i s t h e M i n i s t r y o f S o c i a l " M i n i s t r y " ) r e c o n s i d e r a t i o n d e c i s i o n d a t e d M a r c h 6 , t h e P e r s o n s w i t h D i s a b i l i t i e s D e s i g n a t i o n ( " P W D " ) a a s s e t o u t i n s e c t i o n 2 o f t h e E m p l o y m e n t a n d A s s i s ( " E A P W D A " ) . T h e M i n i s t r y h e l d t h a t t h e A p p e l l a n t d i d n o t h a v e a s i g n i f i c a n t l y r e s t r i c t e d h e r a b i l i t y t o p e r f o r m d a i l y l i v e x t e n d e d p e r i o d s a n d d i d n o t r e q u i r e s i g n i f i c a n t h e l d e v i c e o r a n a s s i s t a n c e a n i m a l t o p e r f o r m d a i l y l i v i n r e q u i r e d b y s e c t i o n 2 ( 2 ) a n d ( 3 ) E A W P D A . P A R T D R e l e v a n t L e g i s l a t i o n S e c t i o n 2 ( 2 ) a n d ( 3 ) o f t h e E A P W D A S e c t i o n 2 o f t h e E m p l o y m e n t a n d A s s i s t a n c e f o r P e E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )I A P P E A L D e v e l o p m e n t a n d S o c i a l I n n o v a t i o n ( t h e 2 0 1 4 w h i c h h e l d t h a t t h e A p p e l l a n t w a s d e n i e d s t h e A p p e l l a n t d i d n o t m e e t t h e l e g i s l a t i v e c r i t e r i a t a n c e f o r P e r s o n s w i t h D i s a b i l i t i e s A c t s e v e r e m e n t a l o r p h y s i c a l i m p a i r m e n t t h a t i n g a c t i v i t i e s e i t h e r c o n t i n u o u s l y o r p e r i o d i c a l l y f o r p o r s u p e r v i s i o n o f a n o t h e r p e r s o n , a n a s s i s t i v e g a c t i v i t i e s r e s u l t i n g f r o m t h e i m p a i r m e n t a s r s o n s w i t h D i s a b i l i t i e s R e g u l a t i o n ( " E A P W D R " )
P A R T E S u m m a r y o f F a c t s T h e e v i d e n c e b e f o r e t h e M i n i s t ry a t r e c o n s i d e r a t i o n F o r i t s r e c o n s i d e r a t i o n d e c i s i o n , t h e M i n i s t r y h a d t h 1 . A p p e l l a n t ' s P W D a p p l i c a t i o n c o n s i s t i n g o f : • A p h y s i c i a n ' s r e p o r t ( " P R " ) c o m p l e t e d o n S e p A p p e l l a n t h a s b e e n s e e n i n t h e i r w a l k i n c l i n i a n o t h e r p r o v i n c e . • A n a s s e s s o r ' s r e p o r t ( " A R " ) c o m p l e t e d o n t h e h a s k n o w n t h e A p p e l l a n t s i n c e N o v e m b e r 2 0 t i m e s i n t h e y e a r p r e c e d i n g t h e c o m p l e t i o n o 2 . A p p e l l a n t ' s r e q u e s t f o r r e c o n s i d e r a t i o n , d a t e d F e f o l l o w i n g a d d i t i o n a l d o c u m e n t s : • J a n u a r y 1 7 , 2 0 1 3 r e p o r t f r o m a c o n s u l t i n g d o • J a n u a r y 1 7 , 2 0 1 3 d i a g n o s t i c i m a g i n g r e p o r t . • J a n u a r y 2 5 , 2 0 1 3 l a b r e s u l t s . • A p r i l 1 0 , 2 0 1 3 c o n s u l t a t i o n r e q u e s t l e t t e r t o a • M a y 1 5 , 2 0 1 3 p a i n c l i n i c s p e c i a l i s t ' s r e s p o n s e 2 0 1 3 i n j e c t i o n r e p o r t f r o m t h a t s p e c i a l i s t . • M a y 2 0 , 2 0 1 0 d e c i s i o n b y a s o c i a l b e n e f i t s t r i f r o m 1 9 9 9 -2 0 1 0 f r o m a n o t h e r p r o v i n c e . E v i d e n t i a r y F i n d i n g s T h e P a n e l h a s r e v i e w e d t h e m e d i c a l r e p o r t s f r o m 1 9 t h e A R a n d t h e m e d i c a l t e s t r e s u l t s / r e p o r t s d a t i n g J a v a r i o u s m e d i c a l t e s t r e s u l t s / r e p o r t s c o m p l e t e d i n 2 0 A p p e l l a n t ' s m e d i c a l c o n d i t i o n s a n d i m p a i r m e n t s , t h e f r o m 1 9 9 9 -2 0 1 0 . A l s o f o r t h a t r e a s o n , t h e P a n e l w i l l s u m m a r i z e t h e r e r e p o r t s . A s f o r t h e t r i b u n a l d e c i s i o n f r o m a n o t h e r p r o m u s t b a s e i t s d e c i s i o n o n t h e c r i t e r i a i n t h e E A P W D a n o t h e r p r o v i n c e . T h e p a n e l a l s o n o t e s t h a t t h e i n f o r a p p e l l a n t ' s f u n c t i o n i n g i n 2 0 1 0 . T h e r e f o r e , t h e P a n e d e c i s i o n l i t t l e w e i g h t . D i a g n o s e s I n t h e P R , t h e d o c t o r d i a g n o s e d t h e A p p e l l a n t w i t h d s p i n e . P h y s i c a l I m p a i r m e n t T h e J a n u a r v 2 0 1 3 c o n s u l t i n a r e p o r t h a d t h e f o l l o w i n E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )A P P E A L I i n c l u d e d t h e f o l l o w i n g d o c u m e n t s : e f o l l o w i n g e v i d e n c e : t e m b e r 1 2 , 2 0 1 3 b y a d o c t o r w h o n o t e d t h a t t h e c s i n c e N o v e m b e r 1 2 , 2 0 1 2 a f t e r a m o v e f r o m s a m e d a y b y t h e s a m e d o c t o r w h o i n d i c a t e d s h e 1 2 a n d h a s s e e n t h e A p p e l l a n t b e t w e e n 2 -1 0 f t h e r e p o r t . b r u a r y 2 0 , 2 0 1 4 , w i t h a w r i t t e n s t a t e m e n t a n d t h e c t o r . p a i n c l i n i c s p e c i a l i s t . t o t h e A p r i l 1 0 , 2 0 1 3 r e q u e s t a n d a J u n e 1 3 , b u n a l i n a n o t h e r p r o v i n c e a n d m e d i c a l r e p o r t s 9 9 -2 0 1 0 , a s w e l l a s t h e i n f o r m a t i o n i n t h e P R , n u a r y 2 0 1 3 a n d J u n e 2 0 1 3 . B e c a u s e t h e 1 3 p r o v i d e t h e m o s t r e c e n t i n f o r m a t i o n a b o u t t h e P a n e l g i v e s t h o s e m o r e w e i g h t t h a n t h e o n e s l e v a n t i n f o r m a t i o n f r o m o n l y t h o s e m o r e r e c e n t v i n c e , t h e P a n e l n o t e s t h a t t h i s a p p e a l t r i b u n a l A a n d t h e E A P W D R , a n d n o t l e g i s l a t i o n f r o m m a t i o n w i t h i n t h e t r i b u n a l d e c i s i o n r e f l e c t s t h e l g i v e s t h e i n f o r m a t i o n i n t h a t o t h e r t r i b u n a l e g e n e r a t i v e d i s c d i s e a s e c e r v i c a l a n d l u m b a r a i n f o r m a t i o n a b o u t t h e A p p e l l a n t ' s c o n d i t i o n s :
• N o s i g n i f i c a n t b o n e o r j o i n t a b n o r m a l i t y i d e n t • H i p j o i n t s p a c e s a r e m a i n t a i n e d b i l a t e r a l l y w i j o i n t s p a c e n a r r o w i n g i s s e e n . • M o d e r a t e i n t e r v e r t e b r a l d i s c s p a c e n a r r o w i n g n a r r o w i n g a t C 4 C 5 w i t h e n d p l a t e o s t e o p h y i e a t p r e s e n t a l o n g w i t h m o d e r a t e m u l t i l e v e l f a c m o d e r a t e b i l a t e r a l o s t e o p h y t i c e n c r o a c h m e n C 6 . • M i n i m a l c o n v e x r i g h t l u m b a r s c o l i o s i s ; v e r t e b a n t h r o p a t h y a t L 4 L 5 a n d L 5 S 1 w i t h 7 m m o f n a r r o w i n g i s p r e s e n t a t t h e s e l e v e l s . I n t h e P R , t h e d o c t o r p r o v i d e d t h e f o l l o w i n g i n f o r m a • H a s d e g e n e r a t i o n o f h e r c e r v i c a l a n d l u m b a r • H a s c h r o n i c p a i n , s t i f f n e s s a n d l e s s m o b i l i t y d p r o v i n c e n o n e w s c a n s h a v e b e e n r e c e n t l y • I s s e e i n g a n o t h e r d o c t o r f o r i n j e c t i o n s a n d t h • A l s o , r e f e r r e d t o a n o r t h o p e d i c d o c t o r f o r p r o p a i n o n m o b i l i z i n g . • U s e s o r t h o t i c s i n h e r s h o e s . • F o r f u n c t i o n a l s k i l l s c a n w a l k u n a i d e d o n a b r e a k s " ; c a n c l i m b 5 + s t e p s u n a i d e d -" t a k e s r e m a i n s e a t e d f o r l e s s t h a n 1 h o u r . • H a s n o d i f f i c u l t i e s w i t h c o m m u n i c a t i o n . I n t h e A R , t h e d o c t o r p r o v i d e d t h e f o l l o w i n g i n f o r m a t • H e r i m p a i r m e n t s a r e c h r o n i c n e c k a n d l o w e r • H e r a b i l i t y t o c o m m u n i c a t e i s g o o d i n t h e f o l l o h e a r i n g . T h e d o c t o r w h o w r o t e t h e A p r i l 1 0 , 2 0 1 3 c o n s u l t i n g r c h r o n i c f o o t p a i n , c o n g e n i t a l h i g h a r c h e s a n d n o t e d i n h e r 4 t h M T h e a d a r e a . S h e h a s c u s t o m o r t h o t i c s m T h e p a i n c l i n i c s p e c i a l i s t w h o c o m p l e t e d t h e M a y 1 5 t h e A p p e l l a n t : • H a s a l o n g h i s t o r y o f p a i n i n h e r C s p i n e a n d i n h e r C s p i n e o n a f a i r l y r e g u l a r b a s i s . • S h e s l i p p e d a n d f e l l a t t h e l o c a l s w i m m i n g p o h e a d a n d w a s d i a g n o s e d w i t h a c o n c u s s i o n , w l o w e r b a c k o n t h e l e f t s i d e . • T y p i c a l l y d o e s n o t g e t a n y r e a l r a d i c u l a r s y m p a s p e c t o f h e r l e f t l e g t o h e r k n e e . • M e d i c a t i o n s i n c l u d e T y l e n o l # 3 t a k e n u p t o 4 m e d i c a l p r o b l e m s . • H a d a r e c e n t C T s c a n o f h e r h e a d , b e c a u s e o E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )A P P E A L I i f i e d i n b i l a t e r a l f e e t . t h n o e v i d e n c e o f o s t e o a r t h r o s i s ; n o s a c r o i l i a c a t C 5 C 6 a n d C 6 C 7 w i t h m i l d e r d i s c s p a c e s a t t h e s e l e v e l s ; m i l d a n e r o l i s t h e s i s o f C 3 o n C 4 e t a n t h r o p a t h y ; o b l i q u e v i e w d e m o n s t r a t e s m i l d t o t o f t h e n e u r a l f o r a m i n a f r o m C 3 C 4 d o w n t o C S · r a l b o d y h e i g h t s a r e m a i n t a i n e d ; f a c e t a n t e r o l i s t h e s i s o f L 4 o n L S ; m o d e r a t e d i s c s p a c e t i o n a b o u t t h e A p p e l l a n t ' s i m p a i r m e n t : s p i n e w i t h s p i n a l s t e n o s i s . u e t o t h i s r e f e r r e d t o r e p o r t s f r o m a n o t h e r d o n e . e r e h a s b e e n i m p r o v e m e n t o f h e r s y m p t o m s . b l e m s w i t h h e r f e e t b i l a t e r a l m e t a t a r s a l g i a w i t h f l a t s u r f a c e f o r l e s s t h a n 1 b l o c k -" n e e d t o t a k e t i m e a n d r e s t p e r i o d s " ; c a n l i f t u n d e r 5 l b s . ; c a n i o n a b o u t t h e A p p e l l a n t : b a c k p a i n w i t h r e s t r i c t i o n s o f m o b i l i t y a n d a c t i v i t y . w i n g a r e a s : s p e a k i n g , r e a d i n g , w r i t i n g a n d e q u e s t l e t t e r d e s c r i b e d t h e A p p e l l a n t a s h a v i n g s h e h a s n o w d e v e l o p e d s o m e c l i c k i n g s e n s a t i o n a d e i n a n o t h e r p r o v i n c e . , 2 0 1 3 c o n s u l t a t i o n r e p o r t e d t h e f o l l o w i n g a b o u t L s p i n e a r e a , a n d d e s c r i b e s g e t t i n g a n i n j e c t i o n o l i n t h e p a s t 2 w e e k s , s t r u c k t h e b a c k o f h e r h i c h f l a r e d u p h e r s y m p t o m s , p a r t i c u l a r l y i n h e r t o m s ; u s u a l l y h a s p a i n d o w n t h e p o s t e r o l a t e r a l t i m e s d a i l y ; d e n i e s h a v i n g a n y o t h e r c h r o n i c f t h e f a l l h e a d s c a n w a s u n r e m a r k a b l e .
• C T o f h e r C s p i n e s h o w s s p o n d y l o s i s t h r o u g t h r o u g h o u t ; x r a y s f r o m J a n u a r y 2 0 1 3 o f L s p s o m e a n t e r o l i s t h e s i s a t L 4 o n L S . • S h e i s a l e r t a n d a p p r o p r i a t e ; i n d i c a t i n g p a i n i • H a s g o o d f o rw a r d f l e x i o n a n d e x t e n s i o n ; h a s s i g n s i n t h e l o w e r e x t r e m i t y ; t o n e , p o w e r a n d • I n p r o n e p o s i t i o n w i t h a x i a l l o a d i n g , s h e h a s p c o n s i s t e n t w i t h h e r p a i n ; C s p i n e s h o w s d e c r a n d l a t e r a l f l e x i o n t o w a r d s t h e l e f t s i d e ; h a s p l e f t s i d e . • S i g n e d i n f o r m e d c o n s e n t f o r l u m b a r f a c e t i n j e h a d p r o c e d u r e s p e r f o r m e d t h a t d a y ; s h e t o l e a g a i n i n 1 m o n t h . A J u n e 1 3 , 2 0 1 3 p a i n c l i n i c i n j e c t i o n r e p o r t i n d i c a t i n g n o w w i t h m y o f a s c i a l n e c k a n d s h o u l d e r p a i n . M e n t a l I m p a i r m e n t T h e d o c t o r p r o v i d e d n o d i a g n o s e s o f a n y m e n t a l h e " u n k n o w n " a s t o w h e t h e r t h e r e a r e a n y s i g n i f i c a n t d e I n t h e A R , t h e d o c t o r r e p o r t e d t h e f o l l o w i n g i m p a c t s • M i n i m a l i m p a c t t o e m o t i o n a n d m o t i v a t i o n . • N o i m p a c t t o t h e o t h e r 1 2 l i s t e d a r e a s . D a i l y L i v i n g A c t i v i t i e s I n t h e P R , t h e d o c t o r p r o v i d e d t h e f o l l o w i n g i n f o r m a t r e s t r i c t s h e r a b i l i t y t o m a n a g e d a i l y l i v i n g a c t i v i t i e s : • H a s n o t b e e n p r e s c r i b e d a n y m e d i c a t i o n a n d p e r f o r m d a i l y l i v i n g a c t i v i t i e s . • B a s i c h o u s e k e e p i n g , d a i l y s h o p p i n g a n d m o b • P e r s o n a l s e l f c a r e p e r i o d i c a l l y r e s t r i c t e d . • M e a l p r e p a r a t i o n , m a n a g e m e n t o f m e d i c a t i o n m a n a g e m e n t o f f i n a n c e s a n d s o c i a l f u n c t i o n i n T h e d o c t o r a d d e d t h e f o l l o w i n g c o m m e n t s : " p e r s o n a m e d i c a t i o n " ; " s h e c a n n o t s t a y s i t t i n g o r s t a n d i n g f o r > w a l k > 1 5 m i n . I n t h e A R , t h e d o c t o r r e p o r t e d t h e f o l l o w i n g a b o u t t h e a c t i v i t i e s : • I s i n d e p e n d e n t w a l k i n g i n d o o r s a n d o u t d o o r s , a n d c l i m b i n g s t a i r s t a k e s l o n g e r , f r e q u e n t s t • N e e d s p e r i o d i c a s s i s t a n c e w i t h l i f t i n g a n d w i t h • I n d e p e n d e n t l y m a n a g e s a l l a r e a s o f p e r s o n a l t r a n s p o r t a t i o n . • N e e d s p e r i o d i c a s s i s t a n c e w i t h f o o d o r e o a r a t i E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )A P P E A L I h o u t , a s w e l l a s s o m e f a c e t j o i n t a r t h r o p a t y h y i n e s h o w f a c e t a r t h r o p a t h y f r o m L 4 -5 , L 5 S 1 , w i t h n t h e l e f t l o w e r a r e a o n h e r L s p i n e . p a i n w i t h l e f t l a t e r a l f l e x i o n ; h a s n o r a d i c u l a r t y p e d e e p t e n d o n r e f l e x e s a r e n o r m a l b i l a t e r a l l y . a i n o v e r h e r L 4 -5 a n d L 5 S 1 f a c e t j o i n t s , e a s e d r a n g e o f m o t i o n , p a r t i c u l a r l y w i t h r o t a t i o n a l p a b l e p a i n o v e r t h e m i d a n d l o w e r f a c e t s o n t h e c t i o n s a s w e l l a s m e d i a l b r a n c h n e r v e b l o c k s a n d r a t e d t h e p r o c e d u r e w e l l a n d w i l l b e f o l l o w e d u p s o m e i m p r o v e m e n t w i t h r e c e n t f a c e t i n j e c t i o n s ; a l t h c o n d i t i o n . I n t h e P R , t h e d o c t o r i n d i c a t e d f i c i t s w i t h c o g n i t i v e a n d e m o t i o n a l f u n c t i o n . t o c o g n i t i v e a n d e m o t i o n a l f u n c t i o n i n g : i o n a b o u t h o w t h e A p p e l l a n t ' s i m p a i r m e n t / o r t r e a t m e n t s t h a t i n t e r f e r e w i t h h e r a b i l i t y t o i l i t y o u t s i d e t h e h o m e c o n t i n u o u s l y r e s t r i c t e d . s , m o b i l i t y i n s i d e t h e h o m e , u s e o f t r a n s p o r t a t i o n , g n o r e s t r i c t i o n s . l s e l f c a r e i s n o p r o b l e m i f p a i n i s c o n t r o l l e d w i t h 1 5 m i n . a t a t i m e . M o b i l i t y b e c o m e s p a i n f u l i f A p p e l l a n t ' s a b i l i t y t o m a n a g e d a i l y l i v i n g c l i m b i n g s t a i r s a n d s t a n d i n g . W a l k i n g o u t d o o r s o p s . c a r r y i n g a n d h o l d i n g . c a r e , p a y i n g r e n t a n d b i l l s , m e d i c a t i o n s a n d o n , c o o k i n a a n d s a f e s t o r a ri e o f f o o d ;
i n d e p e n d e n t l y m a n a g e s m e a l p l a n n i n g . • N e e d s p e r i o d i c a s s i s t a n c e w i t h l a u n d r y a n d • N e e d s p e r i o d i c a s s i s t a n c e w i t h g o i n g t o / f r o m i n d e p e n d e n t l y m a n a g e s r e a d i n g p r i c e s / l a b e l p u r c h a s e s . • F o r s o c i a l f u n c t i o n i n g i n d e p e n d e n t l y m a n a a n d m a i n t a i n r e l a t i o n s h i p s a n d i n t e r a c t i n g a p w i t h d e a l i n g a p p r o p r i a t e l y w i t h u n e x p e c t e d d • H a s g o o d f u n c t i o n i n g w i t h h e r i m m e d i a t e a n d H e l p w i t h D a i l y L i v i n g A c t i v i t i e s I n t h e P R , t h e d o c t o r w r o t e t h a t t h e A p p e l l a n t g e t s h a n d s h o p p i n g . T h e A p p e l l a n t u s e s a c a n e i f i t g e t s w I n t h e A R , t h e d o c t o r r e p o r t e d t h a t f a m i l y h e l p s t h e c a n e a n d a s c o o t e r i n s t o r e s w h e n a v a i l a b l e . T h e A T h e P a n e l f i n d s t h e i n f o r m a t i o n i n t h e n o t i c e o f a p p e p r o v i d e d e t a i l s a b o u t h e r c o n d i t i o n s r e l a t e d t o t h e i n T h e r e f o r e , p u r s u a n t t o s e c t i o n 2 2 ( 4 ) o f t h e E m p l o y m w r i t t e n i n f o r m a t i o n a n d t h e t e s t i m o n y a s b e i n g i n s u a t r e c o n s i d e r a t i o n . A t t h e h e a r i n g , t h e A p p e l l a n t p r o v i d e d t h e f o l l o w i n g 1 . t h e A p p e l l a n t t a k e s T y l e n o l -3 ' s t h r e e t i m e s a t a k e o t h e r f o r m s o f p a i n m e d i c a t i o n b e c a u s e 2 . t h e A p p e l l a n t w a s d i a g n o s e d w i t h h e r c o n d i t i o 3 . t h e A p p e l l a n t w a s o n d i s a b i l i t y i n a d i f f e r e n c e m o v e d t o B r i t i s h C o l u m b i a t o b e w i t h h e r f a m 4 . t h e A p p e l l a n t c a n n o t w o r k a n d h e r m u s c l e s a f a c e o n a t l e a s t o n e o c c a s i o n ; 5 . t h e A p p e l l a n t t a k e s c a r e o f h e r g r a n d s o n ; 6 . t h e A p p e l l a n t ' s g r a n d s o n h e l p s h e r w i t h h e r d 7 . t h e A p p e l l a n t h a s n e v e r u s e d a c a n e b u t s h e 8 . t h e A p p e l l a n t r e c e i v e s c o r t i s o n e i n j e c t i o n s i n m o n t h s ; 9 . t h e A p p e l l a n t d o e s n o t h a v e a d o c t o r c u r r e n t l h e r d o c t o r a n d s h e s a w h e r b e t w e e n 2 -1 0 t i 1 0 . t h e d o c t o r f i l l e d t h e f o r m o u t i n c o r r e c t l y n o t i n g t o l i f t o r c a r r y a n y t h i n g a t a l l ; T h e M i n i s t r y d i d n o t s u b m i t a d d i t i o n a l o r n e w e v i d e n R e c o n s i d e r a t i o n D e c i s i o n . T h e p a n e l f i n d s t h a t t h e a d d i t i o n a l e v i d e n c e p r o v i d e d a d m i s s i b l e u n d e r s e c t i o n 2 2 / 4 ) o f t h e E m n / o y m e n t a E AA T 0 0 3 ( 1 0 / 0 6 l 0 1 )A P P E A L I b a s i c h o u s e k e e p i n g . s t o r e s a n d c a r r y i n g p u r c h a s e s h o m e ; s , m a k i n g a p p r o p r i a t e c h o i c e s a n d p a y i n g f o r g e s t o m a k e a p p r o p r i a t e s o c i a l d e c i s i o n , d e v e l o p p r o p r i a t e l y w i t h o t h e r s ; n e e d s p e r i o d i c a s s i s t a n c e e m a n d s a n d w i t h s e c u r i n g a s s i s t a n c e f r o m o t h e r s . w i t h h e r e x t e n d e d s o c i a l n e t w o r k s . e l p f r o m h e r g r a n d s o n w i t h c h o r e s i n t h e h o u s e o r s e . A p p e l l a n t , t h a t s h e u s e s a s s i s t i v e d e v i c e s a p p e l l a n t d o e s n o t h a v e a n a s s i s t a n c e a n i m a l . a l a n d t h e A p p e l l a n t ' s s t a t e m e n t s a t t h e h e a r i n g f o r m a t i o n t h a t t h e M i n i s t r y h a d a t r e c o n s i d e r a t i o n . e n t a n d A s s i s t a n c e A c t , t h e P a n e l a d m i t s t h e p p o r t o f t h e e v i d e n c e t h a t w a s b e f o r e t h e M i n i s t r y a d d i t i o n a l o r a l e v i d e n c e : d a y t o h e l p c o n t r o l h e r p a i n a n d i s n o t a b l e t o s h e l o o k s a f t e r h e r g r a n d s o n ; n i n 1 9 8 6 ; p r o v i n c e u n t i l h e r f a t h e r p a s s e d a w a y a n d s h e i l y ; r e n o t w o r k i n g w h i c h c a u s e d h e r t o f a l l o n h e r a i l y l i v i n g a c t i v i t i e s ; d o e s h a v e o r t h o t i c s ; h e r n e c k , h i p a n d l u m b a r s p i n e e v e r y t h r e e y t h e d o c t o r t h a t f i l l e d o u t t h e a p p l i c a t i o n i s n o t m e s ; a n d t h a t s h e i s n o t a b l e t o c l i m b m a n y s t a i r s o r a b l e c e o n a p p e a l a n d r e l i e d e x c l u s i v e l y o n t h e b y t h e A p p e l l a n t c l a r i f i e d h e r s i t u a t i o n a n d w a s n d A s s i s t a n c e A c t a s i t w a s i n s u p p o r t o f t h e
records before the Ministry at reconsideration. EAAT003(10/06/01) I APPEAL
PAR T F -R eas on s for Pan e l Deci s ion The is sue und er app e al is whet her t h e M in istry reco Appell an t did n ot mee t the l e gislative cr ite ri a a s s e t desi gnati on as PW D was reasonably supported by the evi le g i sla ti on . Legisl atio n Section 2 of t h e EAPWDA is the sec ti on that gives the Ministry the autho a p erson w ith disab i lities. Specifi call y section 2(2 ) gives th designa te persons as PWD who has reached 18 years p er s on has a severe mental o r physic al impair me nt. Sect io n 2( 2) ( a) ( b) ( i) ( i i) of the EAP W D A fur the r requ t h e imp airment is likely to continue for a t least 2 years a dir e ctly an d sign i ficantly restricts the p erson 's ab i l i ty to perf c ontin uously or p eriod ical ly for e x ten ded periods and req uires h e lp to perform thos e act ivi ti es. For the purpo ses o f section 2 of the EAPWD A , s e ctio includ e a perso n wit h a m ental disor de r a nd section l i ving act iv ity to incl ude a p erson wh o requ ires a n assist supe r v ision of another p e r son or the se rvi c es of a n Sectio n 2 of t h e EAPWDA reads as follo w s : 2 ( 1) In t hi s sect i o n : "a ss istive devi ce" me an s a devi c e des i gned t o en a ble a p sev ere me n t a l or phy si c al impairm e nt, th e p e rson is unab "da i ly l ivin g activ ity" has the p re sc rib ed meaning ; "health profes sional " repealed "prescribed professiona l" has the prescribed meaning; (2) The minister may designate a person who has reached 18 years of age as a pe of this Act if the minister is satisfied that the person h as a severe ment ( a ) in the opinion of a medical practit i one r is likely to continue for at least 2 years, and (b) in the opinion of a prescribed professi ona l (i) directly and significantly restricts the person's ability to perform daily (A) continuously, or (B) periodically for extended periods, and (ii) as a resu l t of th ose restrictions, the pers o n r (3) For the purposes of subsection (2), EMT 003(10/06/01) I APP EA L nsid eration whi c h h e ld th at the Ap pellant the out i n sect i on 2 (2) an d (3) of the EAPWDA for de n ce or a re asonab l e appl i cation of the ri t y to d esi g nate a p er so n as e M i n i s try t he dis cret i ona ry pow er to o f ag e if the Minis t ry is satis fied th at th e ires that in t he opi nion o f the m edi c al p ractit io ne r nd in the opi nion o f a prescr ibe d pro fessional orm dai l y li ving activ iti es either th at as a r e s u l t o f the res triction s the pers o n n 3( a) defi n e s "sev ere m ental i mpairment" to 3( b ) def i n es "h e l p" in relation t o h elp wi th daily ive devi ce, the signif i c ant h el p o r t he a s sis tive animal to perfo rm daily a ctivities. erso n t o perfo rm a d aily l iving ac t ivity th at, be c aus e of a l e t o per form; rson with dis abilities for the purposes al o r p hysi c al impairment t hat living activities either e q uires h elp to pe rform those a ctivities.
I APPEAL I (a) a person who has a se vere mental impairment includes a person with a mental disorder, and (b ) a person re quires help in relation to a dai l y living a c tivity if, in orde r to perf o r m it, the person req uires (i) an as sistive device , (ii ) the significan t help or supervision of another per son, or (iii) the services of an assistance animal. EAPWDR 2 (1) For the purposes of the Act and this r egulation, "daily living activities" , (a) in relation to a perso n who has a severe p h ysical impairment or a s evere me n tal i mpairme n t, mean s th e followin g a c t ivitie s: (i ) pre p are own m eals; (ii) manage perso n a l f i nan ces; (iii) shop for pe rsonal n eed s; (iv ) use pub l ic or perso n al tr a nspo rtation fac i liti es; (v) pe rform hou s ework to mai n ta in thE; per so n's p lace of re sidenc e in acceptab l e sanitar y c ond i t i o n; (v i) mov e ab o ut ind oors a nd out d oo rs ; (v ii) p erf or m pe rs onal hy gi ene and self car e ; (vi ii) manage p erson a l medicat i on , and {b) in rel ation t o a perso n who has a severe me ntal im p airment, i ncludes the f ol lowing activit ies: (i ) ma k e deci s ions about p ersonal act ivit ies, care or fi n ances ; (i i) re l ate t o, co mm u nicate o r interact with oth e rs e f fe cti vel y. { 2) For t he p urp o ses of the A c t, " p res cribe d profes sion al" means a pers on wh o i s authorized und er an enactment to pra c t i ce th e p rof ession of (a) me dical practi tioner , (b) register ed psychologist, (c) registered nurse o r registe r e d p syc hi a t ric nurse, (d ) occup ati onal therapist, (e) physical therapist, (f) social worker, (g) chiropractor, or (h) nurse practitioner. Ministry's Position In determining that the Appellant did not qualify as a PWD pursuant to section 2(2)(3) of the EAPWDA, the Ministry concluded that only two of the five criteria listed had not been established and the Appellant did not verify that she suffered 1) a severe impairment that 2) directly and significan t ly restricted her daily activities and that she 3) required assistance with daily activities as a result of the EM T003(10/06/01)
significant re stric tio n s. The Ministry foun d tha t t here w as in su f ficie nt information prov tha t t he Appellant su ffers with a " se vere impa irm ent." suggest th e App el la nt suffers with sev ere physical limitat Ap pellant' s abil it y to inde pende ntl y fun cti on . Th e Ministr T he ministr y is no t clear from the in formation p rovi ded eviden ce to con f irm a s eve re physical i mpairment. Althou ass ess ment t hat tha t [si c] yo u have sign i fica nt physic can inde pen d e ntly man age the m ajo r i t y of yo u r p hysical man a ge the m ajority of your phys ical activities i n d e p e physical impai r ment h as not been pro vided b y yo u physician. T he Ministry a ckn owledge d t hat the App el la nt di d h degen erat ive disc diseas e o f the ce rv i c a l and lu mbar sub stanti ate that t he im pai r me nt w as a "s e ve re" impa Th e M i nis try noted that th e r e port supp or t ed that t he ma jority of he r m o b ili ty a nd phys ical ab ili ties alt hough averag e p e r son to comp let e the t a sks a nd th at s h e requ a nd hold in g . T h e Ministry held that t he re p or t did not provide suffi Appe llant's im p a irme nt wa s " se ve r e ." Th e M ini stry phy sician an d asse sso r r e p or t s that t he A ppell ant h emotional fun c t ionin g t hat wo ul d othe r w ise re qui re a In t erms of wheth e r t he App ell ant p r ovided t he Ministry impair ment d irectly and s ignifica ntly r estricted her daily livin me dica l repor t that t he A p pel lant was able t o pr epare get a r oun d ins i de an d o u t s i de o f her t he home, u se soc i al funct ionin g . The Ministry did note that the medical report confirmed the Appellant required periodic assistance with basic housekeeping, carrying purchases home and most aspects of food preparation, but that she could also independently manage her personal care, the majority of the shopping tasks, meal plann i n g, payment of rent and bills, medication and tran The Ministry held the report fell short and did not provide information regarding the "type" and "amount" of assistance required and failed to identify safety issues and while they acknowledge that the impairment may impact the ability to manage her daily activiti and s i gnificantly restrict h e r daily activities as r e quired by the legislation. As far as the Appellant requiring help with her daily living activities, the Ministry noted that her practitioner noted that she uses a cane and scooter in stores that offer them to their patrons. Ministry found, however, that as they already determined the Appellant's daily living activities were not to be sii:inificantly restricted that "it cannot be determined that sii:inificant help is required from EAAT003(10/06/01) I AP PEA id ed in the me dical r epor t to support The Ministry di d a ck now led ge t hat th e reports io ns bu t the se lim it ations do not r estric t t he y stated the fol lowing: by [the physici an] tha t your phys ici an has p rovided enough g h your phys i cian indica te s in the functio nal al l imita tions , as you r assessor , your p hysician indicates you a nd mobi l ity fun c tions. F urther , as y o u a r e able to nden tly o r with p e riodic ass i s tance, evi den ce of a severe a ve an "i m pa irmen t " and s uff e red f r o m a s pin e, but he l d that the d oc um enta t ion did not ir me nt as requi red by s e c t io n 2 of th e EA PWDA . App ellan t is ab le to co m pl ete indepen d e ntly the it was noted th at sh e t akes lo nger t ha n th e ir es only p eriodi c assi stance lifting, carrying c i ent details to determine wheth e r or not t he als o n o te d that there was no me ntion in t he ad an y signif icant d ef i cit s in he r cogn i ti v e a nd nothe r person to manage her soc ia l f unc tio ning. with suffic ient infor mation to esta b lish that the g a cti v i ties, the Ministry noted in the h er own mea ls, manage h er own med ic ati on, or acces s transpo rtatio n, manage fi nances a nd s porta tion. es her impairm ent does no directly The
o t h e r p e o p l e . " A p p e l l a n t ' s P o s i t i o n T h e A p p e l l a n t a r g u e d s h e d i d s u f f e r a s e v e r e i m p a i a c t i v i t i e s w h i c h s h e r e q u i r e d a s s i s t a n c e w i t h i n o r d e s u b m i t t e d a n u m b e r o f d o c u m e n t s t o s u p p o r t t h a t s d i s e a s e t h a t a f f e c t s h e r c e r v i c a l a n d l u m b a r s p i n e , p r a c t i t i o n e r , d i a g n o s t i c i m a g i n g , l a b r e s u l t s a n d v a r b e t w e e n 1 9 9 9 t o 2 0 1 0 . T h e A p p e l l a n t a d d i t i o n a l l y s u b m i t t e d a 2 0 1 0 t r i b u n a d e t e r m i n e d t h e A p p e l l a n t w a s a p e r s o n w i t h a d i s a b p h y s i c a l i m p a i r m e n t t h a t i s c o n t i n u o u s a n d r e c u r r e n p a n e l i n t h a t d e c i s i o n f o u n d t h a t t h e A p p e l l a n t s u f f e c e r v i c a l s p i n e a n d s p i n a l s t e n o s i s . T h e A p p e l l a n t f u r t h e r a r g u e d t h a t s h e i s s e v e r e l y r e i n d e p e n d e n t a s i t r e l a t e s t o h e r p e r s o n a l c a r e , t h a t s c o n t i n u o u s p a i n f o r m a n y o t h e r d a i l y a c t i v i t i e s , i n c l u T h e A p p e l l a n t a l s o g a v e e v i d e n c e t h a t h o u s e c h o r e d o n e w i t h t h e a s s i s t a n c e o f h e r g r a n d s o n . W h e n a n t h i s w h e n s h e i s s h o p p i n g . T h e A p p e l l a n t a d d i t i o n a a u t o m o b i l e , b u t n o t g r e a t d i s t a n c e s a s t h i s c r e a t e s p r e s u l t s i n s e v e r e h e a d a c h e s a n d b a c k p a i n . P a n e l ' s R e a s o n s T h e l e g i s l a t i o n c l e a r l y s t i p u l a t e s t h a t i n o r d e r f o r t h e s e c t i o n 2 o f t h e E A P W D A m u s t b e s a t i s f i e d . T h e r e a r e s e e m i n g l y c o n f l i c t i n g r e p o rt s i n w h i c h m a c o n d i t i o n . T h e c o n s u l t i n g r e p o r t b a r e l y a c k n o w l e d g f o r e x a m p l e , i s c l e a r t h a t t h e A p p e l l a n t s u f f e r s f r o m l i v e s i n c h r o n i c p a i n a n d s t i f f n e s s . I n t h e c o n s u l t i n g r e p o r t d a t e d J a n u a r y 2 0 1 3 , f o r e x a s i g n i f i c a n t b o n e o r j o i n t a b n o r m a l i t y " o r " n o e v i d e n c e p r a c t i t i o n e r d e s c r i b e s h e r i n t e r v e r t e b r a l d i s c s p a c e a s i m i l a r l y d e s c r i b e s h e r o s t e o p h y t i c e n c r o a c h m e n t . T w o r d s t o d e s c r i b e t h e A p p e l l a n t ' s c o n d i t i o n w h i c h s u p r e s e n t i s n o t a s e v e r e i m p a i r m e n t . T h e P R , h o w e v e r , c o n f i r m s t h a t t h e A p p e l l a n t h a s d s p i n a l s t e n o s i s . T h e c o n d i t i o n r e s u l t s i n t h e A p p e l l a r e s t r i c t s h e r m o b i l i t y a n d m a k e s h e r d a i l y a c t i v i t i e s c i n j e c t i o n s g i v e n b y a n o t h e r d o c t o r a n d w e a r s o r t h o t i c E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )I A P P E A L r m e n t a n d s h e w a s r e s t r i c t e d i n h e r d a i l y l i v i n g r t o p e r f o r m h e r a c t i v i t i e s . T h e A p p e l l a n t h e w a s s u f f e r i n g f r o m s e v e r e d e g e n e r a t i v e d i s c i n c l u d i n g s e l f r e p o r t s , r e p o r t s f r o m h e r m e d i c a l i o u s m e d i c a l r e p o r t s a n d c o n s u l t s t h a t s p a n n e d l d e c i s i o n f r o m a n o t h e r j u r i s d i c t i o n t h a t i l i t y a n d t h a t s h e s u f f e r e d w i t h a s u b s t a n t i a l t a n d e x p e c t e d t o l a s t o n e y e a r o r m o r e . T h e r e d a d e g e n e r a t i v e d i s c d i s e a s e o f t h e l u m b a r a n d s t r i c t e d i n h e r d a i l y a c t i v i t i e s a n d a l t h o u g h s h e i s h e r e q u i r e s " e x t r a t i m e " a s a r e s u l t o f h e r d i n g w a l k i n g a n d l i f t i n g t o e a t i n g h e r m e a l s . s a n d s h o p p i n g f o r g r o c e r i e s i s v e r y p a i n f u l a n d i s e l e c t r i c c a r t i s a v a i l a b l e , t h e A p p e l l a n t a l s o u s e s l l y s t a t e d t h a t s h e c o n t i n u e s t o d r i v e h e r a i n i n h e r n e c k a n d s h o u l d e r s a n d s o m e t i m e s A p p e l l a n t t o b e a P W D a l l t h e r e q u i r e m e n t s o f k e i t u n c e r t a i n t h e s e v e r i t y o f t h e A p p e l l a n t ' s e s t h e e x i s t e n c e o f a c o n d i t i o n w h e r e a s t h e P R , a d e g e n e r a t i v e d i s c c o n d i t i o n a n d c o n s e q u e n t l y m p l e , t h e p r a c t i t i o n e r s t a t e s t h a t t h e r e i s " n o o f o s t e o a r t h r i t i s o r s a c r o l l i a n j o i n t s p a c e . " T h e s " m o d e r a t e " t o " m i l d e r ' ' n a r r o w i n g w h i c h h e c o n s u l t i n g r e p o r t u s e s m i l d o r m i n i m i z i n g g g e s t s t h a t t h e A p p e l l a n t ' s c o n d i t i o n w h i l e e g e n e r a t i o n o f h e r c e r v i c a l a n d l u m b a r s p i n e w i t h n t l i v i n g w i t h c h r o n i c p a i n a n d s t i f f n e s s w h i c h h a l l e n g i n g . T h e P R n o t e s t h a t t h e A p p e l l a n t h a s s t o h e l p m i n i m i z e t h e p a i n .
T h e A R l i k e w i s e s u g g e s t s t h e A p p e l l a n t s u f f e r s c h r a n d t h e p a i n c l i n i c s p e c i a l i s t a l s o n o t e s t h a t t h e A p p s u p p o r t t h e s e v e r i t y o f h e r c o n d i t i o n . B a s e d o n t h e m y r i a d o f m e d i c a l d o c u m e n t a t i o n s u b r e a s o n a b l e t o c o n c l u d e t h a t t h e A p p e l l a n t d o e s h a v t h e A p p e l l a n t h a s b e e n s e e k i n g t r e a t m e n t a s e v i d e n I n v i e w o f t h e l e v e l o f i n d e p e n d e n c e w i t h t h e D L A r e a p p l i c a t i o n ( d i s c u s s e d i n g r e a t e r d e t a i l b y t h e p a n e l t h e d i a g n o s t i c r e p o r t s , t h e P a n e l f i n d s t h a t t h e M i n i s i m p a i r m e n t h a s n o t b e e n e s t a b l i s h e d . T h e P a n e l a l s o f i n d s t h a t a s t h e A p p e l l a n t h a s n o t b i n j u r y a n d a s n o s i g n i f i c a n t l y d e f i c i t s w i t h c o g n i t i v e a t h e M i n i s t r y r e a s o n a b l y c o n c l u d e d t h a t a s e v e r e m e R e s t r i c t i o n s w i t h D L A a n d t h e n e e d f o r h e l p T h e l e g i s l a t i o n r e q u i r e s t h a t t h e M i n i s t r y b e s a t i s f i e d p e r s o n i s d i r e c t l y a n d s i g n i f i c a n t l y r e s t r i c t e d i n h i s o p e r i o d i c a l l y f o r e x t e n d e d p e r i o d s a n d t h a t a r e s u l t o d e f i n e d i n t h e l e g i s l a t i o n , t o p e r f o r m D L A . T h e P a n e l f i n d s t h a t t h e M i n i s t r y r e a s o n a b l y c o n c l u d t h a t t h e A p p e l l a n t h a s a s e v e r e i m p a i r m e n t t h a t d i r e p e rf o r m d a i l y l i v i n g a c t i v i t i e s e i t h e r c o n t i n u o u s l y o r p T h e A p p e l l a n t a n d t h e m e d i c a l r e p o rt s c o n f i r m t h e A w h i l e s h o p p i n g . T h e A p p e l l a n t g a v e o r a l e v i d e n c e , d o e s n o t u s e a c a n e t o g e t a r o u n d . W h i l e t h e u s e o t h e u s e o f a n a s s i s t i v e d e v i c e , t h e l e g i s l a t i o n r e q u i r e " r e q u i r e d " t o u s e t h e a s s i s t i v e d e v i c e . T h e i n f r e q u e n A p p e l l a n t i s n o t r e q u i r e d t o u s e a s c o o t e r f o r s h o p p i t h e s c o o t e r o p t i o n a l a n d n o t a r e q u i r e m e n t . W h i l e t h e A p p e l l a n t s a y s s h e a d d i t i o n a l l y r e l i e s o n h a n d s h o p p i n g t h i s a l s o c a n n o t b e s a i d t o b e " s i g n i f i c A p p e l l a n t ' s p h y s i c i a n i d e n t i f i e s t h e n e e d f o r p e r i o d i c p r o v i d e d i n f o r m a t i o n t o e s t a b l i s h t h a t t h e a s s i s t a n c e p h y s i c i a n r e p o r t s t h e A p p e l l a n t a s i n d e p e n d e n t l y m a a s s i s t a n c e . T h e P a n e l f i n d s t h a t t h e p h y s i c i a n ' s d e s c r i p t i o n o f t h A p p e l l a n t ' s r e p o r t e d n e e d o f a s s i s t a n c e a r o u n d t h e h h o w e v e r , c a n n o t b e c h a r a c t e r i z e d a s " s i g n i f i c a n t h e l t h a t t h e M i n i s t r y r e a s o n a b l y c o n c l u d e d t h a t t h e r e q u r e s u l t i n g n e e d f o r h e l p w a s n o t e s t a b l i s h e d . E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )I A P P E A L o n i c n e c k a n d b a c k p a i n t h a t r e s t r i c t h e r m o b i l i t y e l l a n t s u f f e r s i n p a i n b u t l i t t l e m o r e i s o f f e r e d t o m i t t e d b y t h e A p p e l l a n t , h o w e v e r , i t s e e m s e a c h r o n i c d e g e n e r a t i v e d i s c c o n d i t i o n a n d t h a t c e d i n t h e m e d i c a l r e p o r t s s i n c e a t l e a s t 1 9 9 9 . p o rt e d b y t h e p h y s i c i a n w h o c o m p l e t e d t h e P W D u n d e r " D L A R e s t r i c t i o n s " ) a n d t h e i n f o r m a t i o n i n t r y r e a s o n a b l y d e t e r m i n e d t h a t a s e v e r e p h y s i c a l e e n d i a g n o s e d w i t h a m e n t a l i m p a i r m e n t o r b r a i n n d e m o t i o n a l f u n c t i o n i n g a r e r e p o r t e d i n t h e P R , n t a l i m p a i r m e n t w a s n o t e s t a b l i s h e d . t h a t i n t h e o p i n i o n o f a p r e s c r i b e d p r o f e s s i o n a l a r h e r a b i l i t y t o p e r f o r m D L A e i t h e r c o n t i n u o u s l y o r f t h o s e r e s t r i c t i o n s , t h e p e r s o n r e q u i r e s h e l p , a s e d t h a t t h e r e i s n o t s u f f i c i e n t e v i d e n c e t o s u p p o rt c t l y a n d s i g n i f i c a n t l y r e s t r i c t s h e r a b i l i t y t o e r i o d i c a l l y f o r e x t e n d e d p e r i o d s . p p e l l a n t u s e s o r t h o t i c s a n d t h e a i d o f a s c o o t e r h o w e v e r , s t a t i n g t h a t c o n t r a r y t o t h e r e p o r t s h e f a s c o o t e r w h e n s h o p p i n g c a n b e c l a s s i f i e d a s s t h a t i n o r d e r t o p e rf o r m t h e t a s k t h e p e r s o n i s t u s e o f t h e s c o o t e r c o u p l e d w i t h t h e f a c t t h a t n g b u t o n l y w h e n i t i s p r o v i d e d m a k e s t h e u s e o f e r g r a n d s o n t o a s s i s t h e r i n t h e h o u s e c h o r e s a n t h e l p " a s r e q u i r e d b y t h e l e g i s l a t i o n . T h e a s s i s t a n c e w i t h s o m e t a s k s o f D L A b u t h a s n o t i s r e q u i r e d f o r e x t e n d e d p e r i o d s . F u r t h e r t h e n a g i n g t h e m a j o r i t y o f D L A t a s k s w i t h n o e r e s t r i c t i o n s a n d n e e d f o r a s s i s t a n c e a n d t h e o u s e d o i n g c h o r e s o r h e l p i n g w i t h t h e s h o p p i n g , p " f o r t h e p u r p o s e s o f t h e s e c t i o n 2 ( 3 ) ( b ) ( i i ) a n d i s i t e d e g r e e o f r e s t r i c t i o n w i t h t h e D L A a n d
C o n c l u s i o n T h e l e g i s l a t i o n i s c l e a r t h a t i n o r d e r t o b e e l i g i b l e f o o r p h y s i c a l i m p a i r m e n t t h a t d i r e c t l y a n d s i g n i f i c a n t l y a n d d o e s n o t r e q u i r e s i g n i f i c a n t h e l p o f a n o t h e r p e r e v i d e n c e t o s u p p o rt t h e s e l e g i s l a t i v e r e q u i r e m e n t s . M i n i s t r y ' s d e t e r m i n a t i o n t h a t t h e A p p e l l a n t b e d e n i e r e q u i r e m e n t s w a s r e a s o n a b l y s u p p o r t e d b y t h e e v i d E M T 0 0 3 ( 1 0 / 0 6 / 0 1 )A P P E A l I r a P W D t h e r e c i p i e n t m u s t h a v e a s e v e r e m e n t a l r e s t r i c t s h e r a b i l i t y t o p e r f o r m h e r d a i l y a c t i v i t i e s s o n . T h e A p p e l l a n t d i d n o t p r o v i d e s u f f i c i e n t F o r t h e a b o v e r e a s o n s , t h e P a n e l f i n d s t h e d P W D f o r f a i l i n g t o m e e t t h e l e g i s l a t i v e e n c e a n d c o n f i r m s t h e d e c i s i o n .
You are being directed to the most recent version of the statute which may not be the version considered at the time of the judgment.