Disability Evaluation

The ratings for this scale vary from no pain, a zero, to the worst pain one could possibly endure, a ten ('Misha' Backonja & Farrar, 2015).  This type of tool used for measuring pain is considered a self-assessment.  Meaning, the individual rates his/her pain on the provided scale.  All individuals who have received medical treatment, whether for a serious injury or a yearly physical, has been asked, “What would you rate your pain today, on a scale of one to ten?”.  This pain assessment tool is considered a fully ordered variable due to the individual having a wide range to rate his/her

Once Dr. Swartz acknowledged the ROM method was improper in this case, I turned Dr. Swartz attention to the DRE method. After reviewing the table for the DRE Lumbar Category on page 384 of the AMA Guides, Dr. Swartz placed the applicant into a DRE Lumbar Category II and assigned an impairment of 5% WPI. Dr. Swartz supported her opinion based on the fact there is a subjective complaint of pain radiating into the applicant right leg as documented in his evaluation report of June 16, 2016. However, Dr. Swartz acknowledged there is no objective evidence to verify the radicular complaints, thus the placement into DRE Lumbar Category II is appropriate since there is no verifiable radicular complaint.

People with disabilities have to face more within the health care system and obtaining access to care. Disability is not the same as poor health, persons with disabilities are less likely to work or have to work less hours and many have to obtain employer-sponsored health insurance. My paper focuses on access to health care for persons with disabilities (for me it is Multiple Sclerosis). In this paper I will discuss utilization and cost of services, and health insurance coverage of persons with disabilities.

The patient states that she continues to have pain, every single day. Her shoulder pain has started to radiate up to her neck. Shoulder pain is rated to a 9/10 without medications, and 5/10 with medication.

Validity: Overall the study is valid but limited as the study examined individual patients as a single case making the ability to generalize limited. The foremost dilemma with the study is the challenge in determining the difference in scores that correspond directly to a clinically important modification. The ability of the VAS to detect significant changes relies heavily on an established baseline as a standard to compare future data. Throughout the duration of the study, patients were asked frequently to complete the VAS and RMQ, this may possibly lead to learning effects which may impact the results of the pain and functional status

A physical therapy evaluation dated 08/07/2017 indicated that the claimant had a right shoulder pain after a fall onto her elbow and knee at work on 06/28/2017. She stated that she will have a surgical intervention on her right shoulder. She rated the pain at 6-8/10. She was unable to reach above her right with the right upper extremity. Objective findings showed reduced right arm swing. It was noted that the claimant was unable to place the right hand behind the head or the ear. There was a noted atrophy of the right forearm. Therapeutic exercises, moist heat, TENS, cryotherapy, and patient

DOI: 4/17/2013. Patient is a 61-year old male senior quality assurance manager who sustained a work-related injury to his right hand from repetitive use of keyboard and mouse. As per OMNI entry, he was initially diagnosed with right thumb and wrist tendonitis. The patient is subsequently diagnosed with radial styloid tenosynovitis [de quervain]; periarthritis, unspecified wrist; osteophyte, unspecified elbow; and lesion of ulnar nerve, unspecified upper limb. As per progress report dated 6/29/16, the patient complains of pain at the cervical spine, right shoulder, right elbow, and right wrist/hand with stiffness, weakness and numbness. Physical examination revealed tenderness to palpation, spasms, and decrease range of motion, strength, and

The claimant is a 50 year old filing a concurrent claim alleging disability due to left and right total hip replacements, cervical spine surgery, depression, and high blood pressure as of 06/22/2016.

Lenihan, the patient complains of popping sensation, stable with flexion/extension. IW reports pain on the medial side. Patient is wearing sleeve. Patient reports that at the end of the day, she has mild swelling on the elbow. She also reports numbness in the 5th finger and lateral side, increased with movement.

The prospective patients were to have a minimum volume difference of 10% between the affected and unaffected arms. They were then randomly assigned to two different groups, the control group and the

The Shoulder Pain and Disability Index (SPADI) score developed by Roach et al in 1991. ‘The SPADI contains 13 items that assess two domains; a 5-item subscale that measures pain and an 8-item subscale that measures disability.’ (Breckenridge & McAuley, 2011). Each item is measured on a scale of 1-10 (1 being lowest and 10 being highest). A total of the scores are summed and converted to a score out of 100 with a higher number indicating

“…impairment and disability are not synonymous. Evaluation of disability requires non-medical judgments that are generally out of the scope of the physician’s

Meanwhile, patients with VAS>3 and treated with EA weekly showed a gradual decrease in functional disability of the lumbar spine from a score of 11.00 on the first evaluation to a score of 8.75 on the second and a score of 5.80 significantly on the last evaluation. Tsui & Cheng [28] found that patients with lower levels of pain in VAS after intervention also had increased lumbar spine functionality by RMDQ, which happened in our study after four weeks.

Diagnosis is confirmed by X-ray of the wrist. This is important to understand the extent of the injury. A posterior-anterior (PA), lateral, and oblique radiographs of the distal radius that include the carpal bones should be obtained. All three radiographs should be examined for a loss of normal anatomy, disruption of the articular surface, involvement of the distal radio-ulnar and radiocarpal joints, and evidence of comminution (Villet 2011).

Meaning that the MMPI-2-rf could also be used in conjunction with other assessments as a measurement of low back chronic pain. Notwithstanding, the study’s sample was especially conducive to clearly correlating the assessments ability to validly and reliably measure what it states to measure. Should this study made use of a truly randomized participant pool, in which participants were not just pain patients, but individuals with no pain symptoms it would be harder to normalize what scores correlate to actual pain patients from those that pertain to the normals (Tarescavage, Scheman, & Ben-Porath,