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Routine: DVBCTBI7

DVBCTBI7.m

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DVBCTBI7 ;ALB/RLC TRAUMATIC BRAIN INJURY (TBI) WKS TEXT - 3 ; 12 FEB 2007

 ;;2.7;AMIE;**134**;Apr 10, 1995;Build 1

 ;

 ;

TXT ;

 ;;   X. Consciousness

 ;;      a. Normal.

 ;;      b. Persistently altered state of consciousness, such as vegetative

 ;;      state, minimally responsive state, coma.

 ;;

 ;;Other comments.

 ;;

 ;;NOTE:  To clarify Item VII above:  "Instrumental activities of daily living"

 ;;       refers to activities other than self-care that are needed for

 ;;       independent living, such as meal preparation, doing housework, and other

 ;;       chores, shopping, traveling, doing laundry, being responsible for one's

 ;;       own medications, and using a telephone.  These activities are

 ;;       distinguished from "Activities of daily living", which refer to basic

 ;;       self-care and include bathing or showering, dressing, eating, getting

 ;;       in or out of bed or a chair, and using the toilet.

 ;;

 ;;D.  Diagnostic and Clinical Tests:

 ;;

 ;;    1. Skull X-rays to measure bony defect, if any, due to surgery or injury.

 ;;    2. Include results of all diagnostic and clinical tests conducted in the

 ;;       examination report.

 ;;

 ;;E.  Diagnosis:

 ;;

 ;;    1. List each diagnosis.

 ;;    2. Capacity to manage financial affairs

 ;;       Mental competency, for VA benefits purposes, refers only to the ability

 ;;       of the veteran to manage VA benefit payments in his or her own best

 ;;       interest, and not to any other subject.  Mental incompetency, for VA

 ;;       benefits purposes, means that the veteran, because of injury or disease,

 ;;       is not capable to managing benefit payments in his or her own best

 ;;       interest.  In order to assist raters in making a legal determination

 ;;       as to competency, please address the following:

 ;;

 ;;       a. What is the impact of injury or disease on the veteran's ability to

 ;;          manage his or her financial affairs, including consideration of such

 ;;          things as knowing the amount of his or her VA benefit payment,

 ;;          knowing the amounts and types of bills owed monthly, and handling

 ;;          the payment prudently?  Does the veteran handle money and pay the

 ;;          bills himself or herself?

 ;;       b. Based on your examination, do you believe the veteran is capable of

 ;;          managing his or her financial affairs?  Please provide examples to

 ;;          support your conclusion.  If you believe a Social Work Service

 ;;          assessment is needed before you can give your opinion on the

 ;;          veteran's ability to manage his or her financial affairs, please

 ;;          explain why.

 ;;

 ;;    3. Note:  When a mental disorder is present, state, or ask the mental

 ;;       disorders examiner to state, to the extent possible, which

 ;;       emotional/behavior signs and symptoms are part of a co-morbid mental

 ;;       disorder and which represent residuals of TBI.  If it is impossible to

 ;;       make such a determination without speculation, so state.

 ;;

 ;;

 ;;

 ;;Signature:                                     Date:

 ;;END