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Routine: DVBCWEA3

DVBCWEA3.m

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  1. DVBCWEA3 ;BPOIFO/ESW - EATING DISORDERS WKS TEXT - 1 ; 10/1/02 5:33pm
  1.  ;;2.7;AMIE;**46**;Apr 10, 1995
  1.  ;Per VHA Directive 10-92-142, this routine should not be modified
  1.  ;
  1. TXT ;
  1.  ;;
  1.  ;;A. Review of Medical Records:
  1.  ;;
  1.  ;;
  1.  ;;B. Medical History (Subjective Complaints):
  1.  ;;
  1.  ;;   Comment on:
  1.  ;;   1. PAST MEDICAL HISTORY
  1.  ;;
  1.  ;;      a. Previous hospitalizations and outpatient care for parenteral
  1.  ;;         nutrition or tube feeding.
  1.  ;;      b. Medical and occupational history from the time between the
  1.  ;;         last such rating examination and the present needs to be 
  1.  ;;         accounted for, UNLESS the purpose of this examination is to
  1.  ;;         ESTABLISH service connection, then a complete medical history
  1.  ;;         since discharge from military service is required.
  1.  ;;      c. Periods of incapacitation (during which bed rest and treatment 
  1.  ;;         by a physician are required due to the eating disorder). 
  1.  ;;         Describe the frequency and duration.
  1.  ;;      d. Current treatment, response, side effects.
  1.  ;;
  1.  ;;
  1.  ;;   2. PRESENT MEDICAL, OCCUPATIONAL AND SOCIAL HISTORY - over the past
  1.  ;;      one year.
  1.  ;;
  1.  ;;      a. History of onset of eating disorder.
  1.  ;;      b. Its course, treatment, and current status to include symptoms.
  1.  ;;      c. Extent of time lost from work over the past 12 month period 
  1.  ;;        and social impairment. If employed, identify current occupation
  1.  ;;        and length of time at this job.
  1.  ;;
  1.  ;;
  1.  ;;   3. SUBJECTIVE COMPLAINTS:
  1.  ;;
  1.  ;;      a. Describe fully.
  1.  ;;
  1.  ;;TOF
  1.  ;;C. Examination (Objective Findings):
  1.  ;;
  1.  ;;   Address each of the following and fully describe:
  1.  ;;
  1.  ;;   1. Mental status exam to confirm or establish diagnosis in 
  1.  ;;      accordance with DSM-IV.
  1.  ;; 
  1.  ;;   2. Additionally, please provide this specific information:
  1.  ;;      a. Current weight.
  1.  ;;      b. Expected minimum weight based on age, height, and body build.
  1.  ;;      c. Obtain weight history.
  1.  ;;
  1.  ;;   3. Additionally, to allow evaluation by the rating specialist, 
  1.  ;;      describe and fully explain the existence, frequency, and extent
  1.  ;;      of the following signs and symptoms and relate how they 
  1.  ;;      interfere with employment:
  1.  ;;      a. Binge eating.
  1.  ;;      b. Self-induced vomiting or other measure to prevent weight gain
  1.  ;;         when weight is already below expected minimum normal weight.
  1.  ;; 
  1.  ;;D. Diagnostic Tests (including psychological testing if deemed necessary):
  1.  ;; 
  1.  ;;   1. Provide specific evaluation information required by the rating 
  1.  ;;      board or on a BVA Remand. Diagnostic Tests (See the examination
  1.  ;;      request remarks for specifics.):
  1.  ;; 
  1.  ;;           a. CAPACITY TO MANAGE FINANCIAL AFFAIRS
  1.  ;;
  1.  ;;           Mental competency, for VA benefits purposes, refers only to
  1.  ;;           the ability of the veteran to manage VA benefit payments in his
  1.  ;;           or her own best interest, and not to any other subject.
  1.  ;;           Mental incompetency, for VA benefits purposes, means that
  1.  ;;           the veteran, because of injury or disease, is not capable of
  1.  ;;           managing benefit payments in his or her best interest.
  1.  ;;           In order to assist raters in making a legal determination as to
  1.  ;;           competency, please address the following:
  1.  ;;                What is the impact of injury or disease on the veteran's ability
  1.  ;;                to manage his or her financial affairs, including consideration
  1.  ;;                of such things as knowing the amount of his or her VA benefit
  1.  ;;                payment, knowing the amounts and types of bills owed monthly,
  1.  ;;                and handling the payment prudently? Does the veteran handle
  1.  ;;                the money and pay the bills himself or herself?
  1.  ;;
  1.  ;;                Based on your examination, do you believe that the veteran is
  1.  ;;                capable of managing his or her financial affairs?
  1.  ;;                Please provide examples to support your conclusion.
  1.  ;;
  1.  ;;                If you believe a Social Work Service assessment is needed before
  1.  ;;                you can give your opinion on the veteran's ability to manage his
  1.  ;;                or her financial affairs, please explain why.
  1.  ;;
  1.  ;;      b.  OTHER OPINION: Furnish any other specific opinion requested
  1.  ;;          by the rating board or BVA Remand, furnishing the complete 
  1.  ;;          rationale and citation of medical texts or treatise supporting 
  1.  ;;          opinion, if medical literature review was undertaken. If the
  1.  ;;          requested opinion is medically not ascertainable on exam or
  1.  ;;          testing, please state WHY. If the requested opinion cannot 
  1.  ;;          be expressed without resorting to speculation or making 
  1.  ;;          improbable assumptions say so, and explain why. If the opinion 
  1.  ;;          asks "...is it at least as likely as not...", fully explain
  1.  ;;          the clinical findings and rationale for the opinion.
  1.  ;;
  1.  ;;
  1.  ;;  2.  Include results of all diagnostic and clinical tests conducted 
  1.  ;;      in the examination report.
  1.  ;;
  1.  ;;
  1.  ;;E. Diagnosis:
  1.  ;;
  1.  ;;
  1.  ;;Signature:                              Date:
  1.  ;;END