When the director of labor and industrial relations finds that the service of an attendant for the injured employee is constantly necessary the director may award a monthly sum of not more than the product of four times the effective maximum weekly benefit rate prescribed in section 386-31, as the director may deem necessary, for the procurement of such service. Payment for the services of an attendant shall be the liability of the employer, but shall be subject to the deductible under section 386-100.
HRS § 386-23
Section allows compensation for attendant care services so long as claimants can establish their inability to function or perform activities of daily living on a consistent basis. 83 H. 361, 926 P.2d 1284.