These predictions should only be treated as a suggestion. There are many confounding factors which often skew these predictions. Factors which often affect predictions are a person's procedural memory, individual differences, physical abilities, age of onset and variation in the support provided by caregivers.
Living alone assumes that the person can do all of their self-care activities independently, but within ACL 4 High, some daily or weekly assistance is usually required. Household management tasks usually require even more assistance.
Routine activities can be done by using procedural memories that are done at a semi-conscious level until something out of the ordinary happens, such as running out of toilet paper or soap. The person usually stops doing the activity because they do not know what to do now. Anticipating and solving the problem is unlikely, but the need for assistance is also unrecognized. A diplomatic method for providing daily assistance and anticipating / solving problems is required if the person is left alone.
When more pressure is the way to fix mistakes, material objects are frequently broken, and unbreakable objects are recommended.
"I like it like that" is the common solution to the many mistakes they make. A pattern of more than normal mistakes is seldom stored in long-term memory. Their self-concept is set to the time before the onset of a cognitive disability. Brief self-reports make sense in a legal proceeding and in an office visit, but they conflict with on-site observers. Videos of on-site performance while doing essential activities is recommended for on-site observers. Money and medication management are common essential activities done haphazardly. Removing spoiled food from the refrigerator, expired prescriptions and food, trash from wastepaper baskets or unsorted piles, waste from pets and plants, accumulations of insects and rodent carcasses and droppings, and unsafe storage of flammable toxins are common essential activities that are also public health causes for concern.