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Psychological Evaluation Report

Decent Essays

This is a 46-year-old female with a 5/9/2014 date of injury. On the date of injury, the claimant was performing cleaning activities as a custodian, and the claimant developed symptoms of pain in an affected shoulder.

01/13/15 Reconsideration Letter indicated an appeal for the previously denied review on 01/12/16. OMRP is a CARF approved program. It is an individualized program based on the needs of the patient. The initial request was denied based on the rationale that all lesser levels of treatment have been exhausted by the patient and the records indicate that narcotic medication is not required for pain management. However the OMRP at our facility is not the same program as chronic Pain program, therefore does not require the patient …show more content…

Treatment plan: Outpatient pain rehabilitation program. It also noted Subjectively; pain was described as a six on a scale of 1 to 10. Objectively, there was a documented Beck Depression Inventory (BDI) score of 19 and a documented Beck Anxiety Inventory (BAI) score of 22. The review denied Outpatient pain rehabilitation program. The patient is currently working 40 hours per week at her job. Medication and rest make the pain better, however, all her physical activities are limited. The pain is described as burning, sharp, and stabbing. Recommendation: Outpatient Medical Rehabilitation program • 10 sessions …show more content…

Objectively, this assessment revealed that the claimant was capable of sedentary-light duty work activities. It is documented that the claimant was with a preinjury occupation of a medium duty level. A designated doctor evaluation was conducted on 11/03/14. The records available for review indicate that an orthopedic evaluation was conducted on 6/11/14 at which time, surgical intervention was recommended for treatment of the described medical situation. Grip tests indicate a 56% Right side deficit at position 1 when compared with the opposite hand. ROM of the cervical spine was reduced. ROM of the right shoulder was also

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