What Matters
Fluctuating need refers to needs which may not be apparent at the time of the assessment; but may have been an issue in the past and are likely to arise again in the future.
When practitioners assess a person’s needs, those presenting at initial contact may not be a true reflection of their condition over time. The person may be coping with circumstances where the experience good and bad days, or parts of a day, or are well for weeks or months at a time.
Needs may not fluctuate just because of a condition but also because of changing circumstances, such as changes in employment or education.
An accurate assessment of any fluctuation requires practitioners to give consideration to the needs of a person and their carer over an appropriate period of time to understand the full implications of their condition and circumstances.