NEL Table 1 - Pain and Suffering

Table 1 in Part B of the Approved Guide states:

TABLE 1 - PAIN AND SUFFERING

Only permanent pain and suffering is considered.  Suffering is the mental distress as a result of the accepted conditions (it includes emotional symptoms such as grief, anguish, fear, frustration, humiliation, embarrassment etc).

This table does not include temporary pain and suffering.  Nor does it include speculation of future pain and suffering that has not yet manifested itself.

A score out of 5 is assessed for both pain and for suffering.  These two scores are then combined with the scores derived from Tables 2, 3 and 4 using the combined value calculation (Table 5).

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Suffering

SCORE

DESCRIPTION OF EFFECT

0

No symptoms experienced

1

Symptoms minimal or ill defined.  Occur intermittently.  No interference with activity.

2

Distinct symptoms.  Episodic in nature.  Activities reduced during such episodes. Recovers quickly after episodes.

3

Symptoms distinct and varied.  Episodes occur regularly.  Ability to cope or perform activity effectively reduced during episodes.  Needs time to recover between episodes.  Treatment of benefit.

4

Symptoms wide ranging.  Tend to dominate thinking.  Little time when free of symptoms.  Difficulty coping or performing activity.  Treatment necessary.

5

Constantly focussed on condition.  Ruled by emotions.  Symptoms predominate over thinking.  Unable to cope.  Activities severely restricted.  Treatment of no real help.