DVBCWEA3 ;BPOIFO/ESW - EATING DISORDERS WKS TEXT - 1 ; 10/1/02 5:33pm
 ;;2.7;AMIE;**46**;Apr 10, 1995
 ;Per VHA Directive 10-92-142, this routine should not be modified
 ;
TXT ;
 ;;
 ;;A. Review of Medical Records:
 ;;
 ;;
 ;;B. Medical History (Subjective Complaints):
 ;;
 ;;   Comment on:
 ;;   1. PAST MEDICAL HISTORY
 ;;
 ;;      a. Previous hospitalizations and outpatient care for parenteral
 ;;         nutrition or tube feeding.
 ;;      b. Medical and occupational history from the time between the
 ;;         last such rating examination and the present needs to be 
 ;;         accounted for, UNLESS the purpose of this examination is to
 ;;         ESTABLISH service connection, then a complete medical history
 ;;         since discharge from military service is required.
 ;;      c. Periods of incapacitation (during which bed rest and treatment 
 ;;         by a physician are required due to the eating disorder). 
 ;;         Describe the frequency and duration.
 ;;      d. Current treatment, response, side effects.
 ;;
 ;;
 ;;   2. PRESENT MEDICAL, OCCUPATIONAL AND SOCIAL HISTORY - over the past
 ;;      one year.
 ;;
 ;;      a. History of onset of eating disorder.
 ;;      b. Its course, treatment, and current status to include symptoms.
 ;;      c. Extent of time lost from work over the past 12 month period 
 ;;        and social impairment. If employed, identify current occupation
 ;;        and length of time at this job.
 ;;
 ;;
 ;;   3. SUBJECTIVE COMPLAINTS:
 ;;
 ;;      a. Describe fully.
 ;;
 ;;TOF
 ;;C. Examination (Objective Findings):
 ;;
 ;;   Address each of the following and fully describe:
 ;;
 ;;   1. Mental status exam to confirm or establish diagnosis in 
 ;;      accordance with DSM-IV.
 ;; 
 ;;   2. Additionally, please provide this specific information:
 ;;      a. Current weight.
 ;;      b. Expected minimum weight based on age, height, and body build.
 ;;      c. Obtain weight history.
 ;;
 ;;   3. Additionally, to allow evaluation by the rating specialist, 
 ;;      describe and fully explain the existence, frequency, and extent
 ;;      of the following signs and symptoms and relate how they 
 ;;      interfere with employment:
 ;;      a. Binge eating.
 ;;      b. Self-induced vomiting or other measure to prevent weight gain
 ;;         when weight is already below expected minimum normal weight.
 ;; 
 ;;D. Diagnostic Tests (including psychological testing if deemed necessary):
 ;; 
 ;;   1. Provide specific evaluation information required by the rating 
 ;;      board or on a BVA Remand. Diagnostic Tests (See the examination
 ;;      request remarks for specifics.):
 ;; 
 ;;           a. CAPACITY TO MANAGE FINANCIAL AFFAIRS
 ;;
 ;;           Mental competency, for VA benefits purposes, refers only to
 ;;           the ability of the veteran to manage VA benefit payments in his
 ;;           or her own best interest, and not to any other subject.
 ;;           Mental incompetency, for VA benefits purposes, means that
 ;;           the veteran, because of injury or disease, is not capable of
 ;;           managing benefit payments in his or her best interest.
 ;;           In order to assist raters in making a legal determination as to
 ;;           competency, please address the following:
 ;;                What is the impact of injury or disease on the veteran's ability
 ;;                to manage his or her financial affairs, including consideration
 ;;                of such things as knowing the amount of his or her VA benefit
 ;;                payment, knowing the amounts and types of bills owed monthly,
 ;;                and handling the payment prudently? Does the veteran handle
 ;;                the money and pay the bills himself or herself?
 ;;
 ;;                Based on your examination, do you believe that the veteran is
 ;;                capable of managing his or her financial affairs?
 ;;                Please provide examples to support your conclusion.
 ;;
 ;;                If you believe a Social Work Service assessment is needed before
 ;;                you can give your opinion on the veteran's ability to manage his
 ;;                or her financial affairs, please explain why.
 ;;
 ;;      b.  OTHER OPINION: Furnish any other specific opinion requested
 ;;          by the rating board or BVA Remand, furnishing the complete 
 ;;          rationale and citation of medical texts or treatise supporting 
 ;;          opinion, if medical literature review was undertaken. If the
 ;;          requested opinion is medically not ascertainable on exam or
 ;;          testing, please state WHY. If the requested opinion cannot 
 ;;          be expressed without resorting to speculation or making 
 ;;          improbable assumptions say so, and explain why. If the opinion 
 ;;          asks "...is it at least as likely as not...", fully explain
 ;;          the clinical findings and rationale for the opinion.
 ;;
 ;;
 ;;  2.  Include results of all diagnostic and clinical tests conducted 
 ;;      in the examination report.
 ;;
 ;;
 ;;E. Diagnosis:
 ;;
 ;;
 ;;Signature:                              Date:
 ;;END