| 1 | DVBCMNCK ;ALB/GTS-557/THM-MENTAL DISORDERS EXAM ; 2/11/91  10:44 AM
 | 
|---|
| 2 |  ;;2.7;AMIE;;Apr 10, 1995
 | 
|---|
| 3 |  ;
 | 
|---|
| 4 |  S PG=1,HD91="Department of Veterans Affairs",HD9="Full Exam Worksheet"
 | 
|---|
| 5 | EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
 | 
|---|
| 6 |  W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 0905 Worksheet" S HD7="MENTAL DISORDERS",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!!
 | 
|---|
| 7 |  W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
 | 
|---|
| 8 |  W !!!!,"Narrative:"
 | 
|---|
| 9 |  S LX="TXT" F I=1:1 S LY=$T(@LX+I) Q:LY["END"  W ?13,$P(LY,";;",2),!
 | 
|---|
| 10 |  D HD2 W "A. Medical and occupational history " S LX="TXT1" F I=1:1 S LY=$T(@LX+I) Q:LY["END"  W $P(LY,";;",2),! I $Y>50 D HD2
 | 
|---|
| 11 |  W !!!!!!!!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!!!!!!!!,"C. Objective findings:" D HD2
 | 
|---|
| 12 |  W "D. Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!
 | 
|---|
| 13 |  S LX="TXT2" F I=1:1 S LY=$T(@LX+I) Q:LY["END"  W $P(LY,";;",2),!
 | 
|---|
| 14 |  W !!!!!!!!!,"E. Diagnostic tests (including psychological testing if deemed necessary):",!!!!!!!!!!!!!!,"F.  Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
 | 
|---|
| 15 |  K LN,LN1,LN2
 | 
|---|
| 16 |  Q
 | 
|---|
| 17 |  ;
 | 
|---|
| 18 | HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7," for ",!,NAME,!!!
 | 
|---|
| 19 |  Q
 | 
|---|
| 20 |  ;
 | 
|---|
| 21 | SETIOF ;  ** Set device control var's
 | 
|---|
| 22 |  D HOME^%ZIS
 | 
|---|
| 23 |  Q
 | 
|---|
| 24 |  ;
 | 
|---|
| 25 | TXT ;
 | 
|---|
| 26 |  ;;The severity of disability is based upon actual symptomatology,
 | 
|---|
| 27 |  ;;as it affects social and industrial adaptability.  Two of the
 | 
|---|
| 28 |  ;;most important determinants of disability are time lost from
 | 
|---|
| 29 |  ;;gainful work and decrease in efficiency.  The rating board must
 | 
|---|
| 30 |  ;;not underevaluate the emotionally sick veteran with a good work
 | 
|---|
| 31 |  ;;record, nor must it overevaluate his or her condition on the
 | 
|---|
| 32 |  ;;basis of a poor work record not supported by the psychiatric
 | 
|---|
| 33 |  ;;disability picture.  It is for this reason that great emphasis
 | 
|---|
| 34 |  ;;is placed upon the full report of the examiner, descriptive of
 | 
|---|
| 35 |  ;;actual symptomatology.  The record of the history and complaints
 | 
|---|
| 36 |  ;;is only preliminary to the examination.  The objective findings
 | 
|---|
| 37 |  ;;and the examiner's analysis of the symptomatology are the
 | 
|---|
| 38 |  ;;essentials.  The examiner's classification of the disease
 | 
|---|
| 39 |  ;;as "mild", "moderate", or "severe" is not determinative of the
 | 
|---|
| 40 |  ;;degree of disability, but the report and the analysis of the
 | 
|---|
| 41 |  ;;symptomatology and full consideration of the history by the
 | 
|---|
| 42 |  ;;rating agency will be.  In evaluating disability from psychotic
 | 
|---|
| 43 |  ;;disorders it is necessary to consider, in addition to present
 | 
|---|
| 44 |  ;;symptomatology or its absence, the frequency, severity and
 | 
|---|
| 45 |  ;;duration of previous psychotic periods, and the veteran's
 | 
|---|
| 46 |  ;;capacity for adjustment during periods of remission.  Repeated
 | 
|---|
| 47 |  ;;psychotic periods, without long remissions, may be expected
 | 
|---|
| 48 |  ;;to have a sustained effect upon employability until elapsed
 | 
|---|
| 49 |  ;;time in good remission and with good capacity for adjustment
 | 
|---|
| 50 |  ;;establishes the contrary.  Ratings are to be assigned which
 | 
|---|
| 51 |  ;;represent the impairment of social and industrial adaptability
 | 
|---|
| 52 |  ;;based on all evidence of record.
 | 
|---|
| 53 |  ;;END
 | 
|---|
| 54 |  ;
 | 
|---|
| 55 | TXT1 ;
 | 
|---|
| 56 |  ;;(since the historical data covering the
 | 
|---|
| 57 |  ;;veteran's life up to the time of the last examination are generally in the
 | 
|---|
| 58 |  ;;claim file, only the time between such last rating examination and the present
 | 
|---|
| 59 |  ;;need be accounted for, unless the purpose of this examination is to ESTABLISH
 | 
|---|
| 60 |  ;;service connection):
 | 
|---|
| 61 |  ;;END
 | 
|---|
| 62 |  ;
 | 
|---|
| 63 | TXT2 ;
 | 
|---|
| 64 |  ;;   1.  State whether the veteran is capable of managing his/her
 | 
|---|
| 65 |  ;;       benefit payments in the individual's own best interests (a
 | 
|---|
| 66 |  ;;       physical disability which prevents the veteran from attending
 | 
|---|
| 67 |  ;;       to financial matters in person is not a proper basis for a
 | 
|---|
| 68 |  ;;       finding of incompetency unless the veteran is, by reason of that
 | 
|---|
| 69 |  ;;       disability, incapable of directing someone else in handling
 | 
|---|
| 70 |  ;;       the individual's financial affairs) -
 | 
|---|
| 71 |  ;;END
 | 
|---|