| 1 | DVBCPTCK ;ALB/GTS-557/THM-POST-TRAUMATIC STRESS DISORDER ; 4/29/91 12:09 PM
|
|---|
| 2 | ;;2.7;AMIE;;Apr 10, 1995
|
|---|
| 3 | ;
|
|---|
| 4 | S PG=1,HD91="Department of Veterans Affairs",HD9="Full Exam Worksheet"
|
|---|
| 5 | EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
|
|---|
| 6 | W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 0910 Worksheet" S HD7="POST-TRAUMATIC STRESS DISORDER",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!!
|
|---|
| 7 | W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
|
|---|
| 8 | W !!!!,"Narrative: "
|
|---|
| 9 | S LX="TXT2" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),!
|
|---|
| 10 | W !!,"A. Medical and occupational history:",!!
|
|---|
| 11 | W ?8,"1. Immediate pre-military events and details of training -",!!!!!!!!!?8,"2. Events in the war zone -",!!!!!!!!!?8,"3. Post-active service events (to present) -",!!!!!!!!!
|
|---|
| 12 | W ?8,"4. Employment history prior to and following",!?11,"active service -" D HD2
|
|---|
| 13 | W "B. Subjective complaints (include the veteran's history of unusually ",!?27,"traumatic stressors)",!!!!!!!!!!!!!!!!!! W "C. Objective findings:",! D HD2
|
|---|
| 14 | ;W !!,"1) Describe the duration of the disturbance from the symptoms shown above.",!! D HD2
|
|---|
| 15 | W "D. Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!
|
|---|
| 16 | S LX="TXT1" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),!
|
|---|
| 17 | W !!!!!!!!!!!!,"E. Diagnostic tests (including psychological testing if deemed necessary):",!!!!!!!!!!,"F. Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
|
|---|
| 18 | D EN^DVBCPTS1 K LN,LN1,LN2
|
|---|
| 19 | Q
|
|---|
| 20 | ;
|
|---|
| 21 | HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",NAME,!!!
|
|---|
| 22 | Q
|
|---|
| 23 | ;
|
|---|
| 24 | SETIOF ; ** Set device control var's
|
|---|
| 25 | D HOME^%ZIS
|
|---|
| 26 | Q
|
|---|
| 27 | ;
|
|---|
| 28 | TXT1 ;
|
|---|
| 29 | ;; 1. State if the veteran is capable of managing his/her benefit
|
|---|
| 30 | ;; payments in the individual's own best interests without restriction
|
|---|
| 31 | ;; (a physical disability which prevents the veteran from attending
|
|---|
| 32 | ;; to financial matters in person is not a proper basis for a finding
|
|---|
| 33 | ;; of incompetency unless the veteran is, by reason of that disability,
|
|---|
| 34 | ;; incapable of directing someone else in handling the individual's
|
|---|
| 35 | ;; his financial affairs) -
|
|---|
| 36 | ;;END
|
|---|
| 37 | ;
|
|---|
| 38 | TXT2 ;
|
|---|
| 39 | ;;No diagnosis of PTSD can be adequately documented or ruled
|
|---|
| 40 | ;; out without obtaining a detailed military history. This
|
|---|
| 41 | ;; requirement means that interviewing of cases of PTSD will
|
|---|
| 42 | ;; often require more time than for other disorders. The
|
|---|
| 43 | ;; history should be obtained for the three categories under
|
|---|
| 44 | ;; the medical history. Subjective complaints and objective
|
|---|
| 45 | ;; findings should be related to the diagnosis criteria. PTSD
|
|---|
| 46 | ;; must be due to military service.
|
|---|
| 47 | ;;END
|
|---|
