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1DVBCWP1 ;ALB/CMM POW, GENERAL WKS TEXT - 1 ; 7 MARCH 1997
2 ;;2.7;AMIE;**12,56**;Apr 10, 1995
3 ;
4 ;
5TXT ;
6 ;;
7 ;;Narrative: This is the protocol for conducting initial examinations on former
8 ;;POWs. Approach these veterans with the greatest sensitivity because the
9 ;;POW experience likely resulted in a great deal of psychological and physical
10 ;;trauma. Details about beatings, torture, forced marches, forced labor, diet,
11 ;;disease, brainwashing, extremes of hot and cold, and anxiety may be
12 ;;significant parts of the veteran's history; eliciting these details requires
13 ;;that one establish a trusting relationship with the veteran. Examine
14 ;;veteran for each disability / disease / condition veteran is claiming
15 ;;as a consequence of the POW experience. A former POW may be entitled
16 ;;to service connection for presumptive POW diseases; the worksheet contains
17 ;;a list of these presumptive diseases. Based on veteran's claim(s) and your
18 ;;findings, please refer to and follow additional worksheets to assure
19 ;;the examination provides information adequate for rating purposes.
20 ;;
21 ;;
22 ;;
23 ;;PRESUMPTIVE POW DISABILITIES:
24 ;;
25 ;; Avitaminosis
26 ;; Beriberi (including beriberi heart disease which includes ischemic
27 ;; heart disease in a former POW who experienced localized edema
28 ;; during captivity)
29 ;; Chronic dysentery
30 ;; Helminthiasis
31 ;; Malnutrition (including optic atrophy associated with malnutrition)
32 ;; Pellagra
33 ;; Cirrhosis of the liver
34 ;; Any other nutritional deficiency
35 ;; Psychosis
36 ;; Any of the anxiety states
37 ;; Dysthymic disorder (or depressive neurosis)
38 ;; Organic residuals of frostbite
39 ;; Post-traumatic arthritis
40 ;; Irritable bowel syndrome
41 ;; Peptic ulcer disease
42 ;; Peripheral neuropathy
43 ;;
44 ;;
45 ;;A. Review of Medical Records:
46 ;;
47 ;; 1. Include a review of VA form 10-0048, Former POW Medical
48 ;; History, which the veteran should have completed, prior to
49 ;; conducting the examination.
50 ;;
51 ;;
52 ;; 2. Review the Social Survey.
53 ;;
54 ;;B. Medical History (Subjective Complaints): NOTE: If the veteran
55 ;; has had a previous protocol examination, only an interval history
56 ;; is required.
57 ;;
58 ;; Comment on:
59 ;; 1. Past medical history, including childhood and adult illnesses
60 ;; and surgery.
61 ;;
62 ;;
63 ;; 2. Family history.
64 ;;
65 ;;
66 ;; 3. Social history - state civilian and military occupations,
67 ;; including dates and locations. Describe use of alcohol,
68 ;; tobacco, and drugs.
69 ;;
70 ;;
71 ;; 4. Complete system review, commenting on all positive symptoms.
72 ;;
73 ;; a. Describe initial symptoms, time of onset, and current
74 ;; symptoms of all presumptive POW disabilities found.
75 ;;
76 ;;
77 ;; b. Comment on amount of weight lost as a prisoner. Record
78 ;; initial and release weights.
79 ;;
80 ;;
81 ;; 5. Describe current treatment (specify type, frequency,duration,
82 ;; response, side effects).
83 ;;
84 ;;
85 ;;C. Physical Examination (Objective Findings):
86 ;;
87 ;; Address each of the following and fully describe current findings:
88 ;; The examiner should incorporate all ancillary study results into
89 ;; the final diagnoses.
90 ;; 1. VS: Heart rate, blood pressure (If the diagnosis of hypertension
91 ;; has not been established, take 2 or more blood pressure readings
92 ;; on at least 3 different days. If hypertension has been
93 ;; diagnosed, take 2 or more blood pressure readings.), respirations,
94 ;; height, weight, maximum weight in past year, weight change in
95 ;; past year, body build, and state of nutrition.
96 ;;
97 ;;
98 ;; 2. DOMINANT HAND: Indicate the dominant hand and how determined
99 ;; (i.e., writes, eats, combs hair, etc.).
100 ;;
101 ;;
102 ;; 3. POSTURE AND GAIT: (If abnormal, describe.)
103 ;;
104 ;;
105 ;; 4. SKIN, INCLUDING APPENDAGES: (If abnormal, describe appearance,
106 ;; location, extent of lesions, and limitations to daily activity.)
107 ;; If there are laceration or burn scars, describe location,
108 ;; measurements (cm. x cm.), depression, type of tissue loss,
109 ;; adherence, disfigurement, and tenderness. For each burn scar,
110 ;; state if due to a 2nd or 3rd degree burn. (NOTE: If skin
111 ;; condition or scars are disfiguring, obtain COLOR PHOTOGRAPHS
112 ;; of affected area(s).
113 ;;
114 ;;
115 ;; 5. HEMIC AND LYMPHATIC: (Describe local or generalized adenopathy,
116 ;; tenderness, suppuration, etc.)
117 ;;
118 ;;
119 ;; 6. HEAD AND FACE: Describe scars, deformities, etc.
120 ;;
121 ;;
122 ;; 7. EYES: Describe external eye, pupil reaction, movements,
123 ;; field of vision, any uncorrectable refractive error or any
124 ;; retinopathy.
125 ;;
126 ;;
127 ;; 8. EARS: Describe canals, drums, perforations, discharge.
128 ;;
129 ;;
130 ;; 9. NOSE, SINUSES, MOUTH AND THROAT: Include gross dental findings.
131 ;;
132 ;;
133 ;; 10. NECK: Describe lymph nodes, thyroid, etc.
134 ;;
135 ;;
136 ;; 11. CHEST: Inspection, palpation, percussion, auscultation. If
137 ;; abnormal, describe limitations of daily living (i.e., How far
138 ;; can veteran walk, how many flights of stairs can he or she
139 ;; climb, etc.).
140 ;;
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