Hows my cliam form looking

jox_2

hello im applying for dla for the 1st time online its not completly finished yet but after some opinion on how im doing. am i wording it correctly am i giving enough information? any advice is much appriciateed.


What are your illnesses or disablities? I suffred from Perthes disease as a child and had
2 operations i now suffer with sever pain in my left
hip and also referred pain in my left knee and
thigh


If the effort of walking would be dangerous for you,
tell us about this.
it can be dangerous as i have fallen times before
and im unable to get back onto my feet without the
help of another person

Tell us roughly how far you can walk before you
feel severe discomfort 5-10 metres and takes me 3-4 mins

How many days a week do you have this amount
of difficulty walking? 7

Describe in your own words the problem you have
and the help you need when you are outdoors

I need someone with me when im outdoors because
i can fall quite easily and im unable to get
back on my feet without the help from another person.
i also feel safer having somebody with me as i
have fallen so many times im frightened to go out
alone which can bring on a panic attack

Why do you fall or stumble?
fall and stumble due to manny reasons, the pain whilest walking makes me un easy on my feet and
sometimes the pain is so bad my leg will just give
way causing me to fall, my hip stiffens when i have
been stationary for any length of time this combined
with the pain in my hip and knee makes me
very unstable while getting up from a seated position
or getting out of bed

Tell us where you might fall or stumble

places im likley to fall are walking outdoors, climbing
or decending stairs, sitting or getting up from a
seated position and genraly moving about

Describe in your own words the problems you have
and the help you need when you fall or stumble

if i fall i could injury myself and im unable to get
back up without the help of someone else, if i was
at home alone i would have to wait for somebody
to find me,

Describe in your own words the problems you have
and the help you need moving about indoors

I need help when I move about indoors as I find it
very difficult to get out of a chair, bed or off and on
the toilet. i also need help getting in and out of the
bath due to the pain and stiffness in my joint its extremly
painfull to bend or lift whieslt getting into the
bath I need help from someone who can pull me
up to my feet and support me as I move.the longer
i sit the more stiff my hip becomes and in the morning
when i wake up its so stiff im unable to move
my leg which makes getting out of bed extremly
difficult.

Describe in your own words the problems you have
and the help you need getting out of bed in the
morning or into bed at night
due to the sever pain in my hip joint and my knee
getting into bed at night is extremly difficult i cannot
bend or lift my leg without sever pain and need
somebody to support me. i wake up several times
due to pain and need somone to get my painkillers
for me. in the morning my hip is so stiff and painfull
sometimes i canot face getting out of bed .during
the night

Describe in your words the problems you have and
the help you need when you are in bed?

when im in bed i can not sleep of my left side because
it is too painfull,i regualy wake up during the
night from the pain and need someone to get my
pain killers and a glass of water i find it hard to
sleep. if i need to go to the toilet during the night i
need help getting out and back in bed and and
someone to help me get to the toilet my joint always
becomes stiffer during the night

help you need with your toilet needs during
the day
toilet. if im sitting down and need the toilet i need
help getting up from my seat. i cannot bend to remove
to pull up my trousers without suffering sever
discomfact and need someone to do this each time
i use the toilet. i also need someone to support me
as i get off the toilet.

Describe in your own words the problems you have
and the help you need washing, bathing or
showering, or looking after your appearance. If you
need to wash or bath or shower more than once a
day, please tell us why. If you have bed baths, tell
us how long

i need help getting in and out of the bath as the
pain in my hip and knee joint is so bad i physicaly
canot lift my leg to get in ,i cannot stand for more
tham 10 mins without suffering sever discomfat
and as im uneasy on my feet due to not being able
to put weight on my joint i feel using the shower is
far more dangerous than the bath. i need help drying
my legs and feet as i simply canot bend to dry
myself without sever discomfat and need help to
put on my socks shoes underwear and trousers

Describe in your own words the problems you have
and the help you need getting dressed or
undressed.
i need someone to put on my socks,shoes underwear
and trousers as the pain in my hip is so bad i
physicaly canot bend to do theese things the same
applies for removing them.

Describe in your own words the problems you
would have and the help you would need if you
prepared a cooked main meal for yourself.

i need help with cooking a meal for my self as i
canot put any weight on my joint, carrying any
heavy pots or pans puts extra strain on my joint
which may cause me to stumble or evern fall and
may injur and burn myself.i cannot bend without
suffering extreme discomfat i can not bend down to
put pots or pans i need someone to do this for me





Describe in your own words why you need
someone with you during the day.

i need someone to keep an eye on me incase i fall
as im unable to get back up without the help of
someone else i need someone to help me on and
off chairs, and going to the toilet. i also need some
to help me strech my leg every few hours as it
stifferns up if im sat for short periods of time

Describe in your own words why you need
someone to be awake to watch over you.

during the night the pain is regulary that bad i cannot
move and need somone to pass me my pain
killers and a glass of water and also help me to sit
up as its too pain full to get from a laying down to a
sitting up postion which i need to be in to drink and
swallow my medication i also visit the toilet during
the night which i need help getting in and out of
bed and getting to the toilet.