Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Routine: DVBCWEA3

DVBCWEA3.m

Go to the documentation of this file. 
DVBCWEA3 ;BPOIFO/ESW - EATING DISORDERS WKS TEXT - 1 ; 10/1/02 5:33pm

 ;;2.7;AMIE;**46**;Apr 10, 1995

 ;Per VHA Directive 10-92-142, this routine should not be modified

 ;

TXT ;

 ;;

 ;;A. Review of Medical Records:

 ;;

 ;;

 ;;B. Medical History (Subjective Complaints):

 ;;

 ;;   Comment on:

 ;;   1. PAST MEDICAL HISTORY

 ;;

 ;;      a. Previous hospitalizations and outpatient care for parenteral

 ;;         nutrition or tube feeding.

 ;;      b. Medical and occupational history from the time between the

 ;;         last such rating examination and the present needs to be 

 ;;         accounted for, UNLESS the purpose of this examination is to

 ;;         ESTABLISH service connection, then a complete medical history

 ;;         since discharge from military service is required.

 ;;      c. Periods of incapacitation (during which bed rest and treatment 

 ;;         by a physician are required due to the eating disorder). 

 ;;         Describe the frequency and duration.

 ;;      d. Current treatment, response, side effects.

 ;;

 ;;

 ;;   2. PRESENT MEDICAL, OCCUPATIONAL AND SOCIAL HISTORY - over the past

 ;;      one year.

 ;;

 ;;      a. History of onset of eating disorder.

 ;;      b. Its course, treatment, and current status to include symptoms.

 ;;      c. Extent of time lost from work over the past 12 month period 

 ;;        and social impairment. If employed, identify current occupation

 ;;        and length of time at this job.

 ;;

 ;;

 ;;   3. SUBJECTIVE COMPLAINTS:

 ;;

 ;;      a. Describe fully.

 ;;

 ;;TOF

 ;;C. Examination (Objective Findings):

 ;;

 ;;   Address each of the following and fully describe:

 ;;

 ;;   1. Mental status exam to confirm or establish diagnosis in 

 ;;      accordance with DSM-IV.

 ;; 

 ;;   2. Additionally, please provide this specific information:

 ;;      a. Current weight.

 ;;      b. Expected minimum weight based on age, height, and body build.

 ;;      c. Obtain weight history.

 ;;

 ;;   3. Additionally, to allow evaluation by the rating specialist, 

 ;;      describe and fully explain the existence, frequency, and extent

 ;;      of the following signs and symptoms and relate how they 

 ;;      interfere with employment:

 ;;      a. Binge eating.

 ;;      b. Self-induced vomiting or other measure to prevent weight gain

 ;;         when weight is already below expected minimum normal weight.

 ;; 

 ;;D. Diagnostic Tests (including psychological testing if deemed necessary):

 ;; 

 ;;   1. Provide specific evaluation information required by the rating 

 ;;      board or on a BVA Remand. Diagnostic Tests (See the examination

 ;;      request remarks for specifics.):

 ;; 

 ;;           a. 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 of

 ;;           managing benefit payments in his or her best interest.

 ;;           In order to assist raters in making a legal determination as to

 ;;           competency, please address the following:

 ;;                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

 ;;                the money and pay the bills himself or herself?

 ;;

 ;;                Based on your examination, do you believe that 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.

 ;;

 ;;      b.  OTHER OPINION: Furnish any other specific opinion requested

 ;;          by the rating board or BVA Remand, furnishing the complete 

 ;;          rationale and citation of medical texts or treatise supporting 

 ;;          opinion, if medical literature review was undertaken. If the

 ;;          requested opinion is medically not ascertainable on exam or

 ;;          testing, please state WHY. If the requested opinion cannot 

 ;;          be expressed without resorting to speculation or making 

 ;;          improbable assumptions say so, and explain why. If the opinion 

 ;;          asks "...is it at least as likely as not...", fully explain

 ;;          the clinical findings and rationale for the opinion.

 ;;

 ;;

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

 ;;      in the examination report.

 ;;

 ;;

 ;;E. Diagnosis:

 ;;

 ;;

 ;;Signature:                              Date:

 ;;END