Case study: Functional Capacity Assessment for Multiple Sclerosis.

An adult in their 30s, working part-time, diagnosed with relapsing-remitting Multiple Sclerosis four years ago. Independent on a good day, but afternoon fatigue and post-exertional cognitive slowing significantly reduce capacity from about 2 PM onwards. Past plan-review history: previous supports approved at a level appropriate for 'best-day' functioning, leaving the participant under-supported on flare days.

Functional capacity assessed across three diary windows — early morning (high capacity), afternoon (declining), and post-flare recovery (low). Standardised scoring (WHODAS 2.0, Modified Fatigue Impact Scale) anchored the variability. Mobility section documented safe transfers in the morning but contact-guard supervision needed for transfers after 3 PM. Self-management section documented preserved planning in the morning, executive fatigue by mid-afternoon. Each section described capacity at both ends of the participant's daily curve.

Recommendations were anchored to documented evidence — every support hour mapped to a specific functional limitation documented in the assessment, with the time-of-day pattern made explicit. The NDIS Act reasonable-and-necessary mapping was set out section-by-section. No claims were made that exceeded the documented evidence.

All names, ages, locations and biographical details have been changed or removed. No real participant data is shown. Funding outcomes are illustrative — no NDIS outcome is guaranteed by FCA Reports Australia.