Within ACL 5 High, the person will respond to secondary consequences of tangible properties. They can take a hint and follow verbal directions without a demonstration. They can copy others around them for social etiquettes. They can follow written directions on how to use adaptive aids. They have a more efficient ability to use modified aids to compensate for reduced hand function.
Intangible properties such as calories may be ignored.
With a special diet, caregivers will need to monitor food / alcohol intake, encourage compliance, and notify doctor if noncompliance may be dangerous.