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
|
---|