Totality of impairment is defined to mean that the individual has a physical and/or
functional disability which substantially precludes him from:
Engaging in a useful occupation existing in the community, such employment to be on a regular and predictable basis.
Performing the essentials of homemaking for self and at least one other person.
The individual is measured against his usual role as indicated by the pattern in existence
at the time of the eligibility determination. If the client has carried both roles—breadwinner
and homemaker—he will be measured against his ability to function in his actual role
at the time of application.
Totality is primarily determined from the content of the social study report which
must reflect such factors as the applicant's age, education, work history, marital
history, living conditions, health, and quality of interpersonal relationships.
These will reflect how this disability affects this person as well as providing indicators
regarding the person's ability to function in the light of his permanent impairment.