DVBCWP1 ;ALB/CMM POW, GENERAL WKS TEXT - 1 ; 7 MARCH 1997
;;2.7;AMIE;**12,56**;Apr 10, 1995
;
;
TXT ;
;;
;;Narrative: This is the protocol for conducting initial examinations on former
;;POWs. Approach these veterans with the greatest sensitivity because the
;;POW experience likely resulted in a great deal of psychological and physical
;;trauma. Details about beatings, torture, forced marches, forced labor, diet,
;;disease, brainwashing, extremes of hot and cold, and anxiety may be
;;significant parts of the veteran's history; eliciting these details requires
;;that one establish a trusting relationship with the veteran. Examine
;;veteran for each disability / disease / condition veteran is claiming
;;as a consequence of the POW experience. A former POW may be entitled
;;to service connection for presumptive POW diseases; the worksheet contains
;;a list of these presumptive diseases. Based on veteran's claim(s) and your
;;findings, please refer to and follow additional worksheets to assure
;;the examination provides information adequate for rating purposes.
;;
;;
;;
;;PRESUMPTIVE POW DISABILITIES:
;;
;; Avitaminosis
;; Beriberi (including beriberi heart disease which includes ischemic
;; heart disease in a former POW who experienced localized edema
;; during captivity)
;; Chronic dysentery
;; Helminthiasis
;; Malnutrition (including optic atrophy associated with malnutrition)
;; Pellagra
;; Cirrhosis of the liver
;; Any other nutritional deficiency
;; Psychosis
;; Any of the anxiety states
;; Dysthymic disorder (or depressive neurosis)
;; Organic residuals of frostbite
;; Post-traumatic arthritis
;; Irritable bowel syndrome
;; Peptic ulcer disease
;; Peripheral neuropathy
;;
;;
;;A. Review of Medical Records:
;;
;; 1. Include a review of VA form 10-0048, Former POW Medical
;; History, which the veteran should have completed, prior to
;; conducting the examination.
;;
;;
;; 2. Review the Social Survey.
;;
;;B. Medical History (Subjective Complaints): NOTE: If the veteran
;; has had a previous protocol examination, only an interval history
;; is required.
;;
;; Comment on:
;; 1. Past medical history, including childhood and adult illnesses
;; and surgery.
;;
;;
;; 2. Family history.
;;
;;
;; 3. Social history - state civilian and military occupations,
;; including dates and locations. Describe use of alcohol,
;; tobacco, and drugs.
;;
;;
;; 4. Complete system review, commenting on all positive symptoms.
;;
;; a. Describe initial symptoms, time of onset, and current
;; symptoms of all presumptive POW disabilities found.
;;
;;
;; b. Comment on amount of weight lost as a prisoner. Record
;; initial and release weights.
;;
;;
;; 5. Describe current treatment (specify type, frequency,duration,
;; response, side effects).
;;
;;
;;C. Physical Examination (Objective Findings):
;;
;; Address each of the following and fully describe current findings:
;; The examiner should incorporate all ancillary study results into
;; the final diagnoses.
;; 1. VS: Heart rate, blood pressure (If the diagnosis of hypertension
;; has not been established, take 2 or more blood pressure readings
;; on at least 3 different days. If hypertension has been
;; diagnosed, take 2 or more blood pressure readings.), respirations,
;; height, weight, maximum weight in past year, weight change in
;; past year, body build, and state of nutrition.
;;
;;
;; 2. DOMINANT HAND: Indicate the dominant hand and how determined
;; (i.e., writes, eats, combs hair, etc.).
;;
;;
;; 3. POSTURE AND GAIT: (If abnormal, describe.)
;;
;;
;; 4. SKIN, INCLUDING APPENDAGES: (If abnormal, describe appearance,
;; location, extent of lesions, and limitations to daily activity.)
;; If there are laceration or burn scars, describe location,
;; measurements (cm. x cm.), depression, type of tissue loss,
;; adherence, disfigurement, and tenderness. For each burn scar,
;; state if due to a 2nd or 3rd degree burn. (NOTE: If skin
;; condition or scars are disfiguring, obtain COLOR PHOTOGRAPHS
;; of affected area(s).
;;
;;
;; 5. HEMIC AND LYMPHATIC: (Describe local or generalized adenopathy,
;; tenderness, suppuration, etc.)
;;
;;
;; 6. HEAD AND FACE: Describe scars, deformities, etc.
;;
;;
;; 7. EYES: Describe external eye, pupil reaction, movements,
;; field of vision, any uncorrectable refractive error or any
;; retinopathy.
;;
;;
;; 8. EARS: Describe canals, drums, perforations, discharge.
;;
;;
;; 9. NOSE, SINUSES, MOUTH AND THROAT: Include gross dental findings.
;;
;;
;; 10. NECK: Describe lymph nodes, thyroid, etc.
;;
;;
;; 11. CHEST: Inspection, palpation, percussion, auscultation. If
;; abnormal, describe limitations of daily living (i.e., How far
;; can veteran walk, how many flights of stairs can he or she
;; climb, etc.).
;;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWP1 5452 printed Dec 13, 2024@01:52:59 Page 2
DVBCWP1 ;ALB/CMM POW, GENERAL WKS TEXT - 1 ; 7 MARCH 1997
+1 ;;2.7;AMIE;**12,56**;Apr 10, 1995
+2 ;
+3 ;
TXT ;
+1 ;;
+2 ;;Narrative: This is the protocol for conducting initial examinations on former
+3 ;;POWs. Approach these veterans with the greatest sensitivity because the
+4 ;;POW experience likely resulted in a great deal of psychological and physical
+5 ;;trauma. Details about beatings, torture, forced marches, forced labor, diet,
+6 ;;disease, brainwashing, extremes of hot and cold, and anxiety may be
+7 ;;significant parts of the veteran's history; eliciting these details requires
+8 ;;that one establish a trusting relationship with the veteran. Examine
+9 ;;veteran for each disability / disease / condition veteran is claiming
+10 ;;as a consequence of the POW experience. A former POW may be entitled
+11 ;;to service connection for presumptive POW diseases; the worksheet contains
+12 ;;a list of these presumptive diseases. Based on veteran's claim(s) and your
+13 ;;findings, please refer to and follow additional worksheets to assure
+14 ;;the examination provides information adequate for rating purposes.
+15 ;;
+16 ;;
+17 ;;
+18 ;;PRESUMPTIVE POW DISABILITIES:
+19 ;;
+20 ;; Avitaminosis
+21 ;; Beriberi (including beriberi heart disease which includes ischemic
+22 ;; heart disease in a former POW who experienced localized edema
+23 ;; during captivity)
+24 ;; Chronic dysentery
+25 ;; Helminthiasis
+26 ;; Malnutrition (including optic atrophy associated with malnutrition)
+27 ;; Pellagra
+28 ;; Cirrhosis of the liver
+29 ;; Any other nutritional deficiency
+30 ;; Psychosis
+31 ;; Any of the anxiety states
+32 ;; Dysthymic disorder (or depressive neurosis)
+33 ;; Organic residuals of frostbite
+34 ;; Post-traumatic arthritis
+35 ;; Irritable bowel syndrome
+36 ;; Peptic ulcer disease
+37 ;; Peripheral neuropathy
+38 ;;
+39 ;;
+40 ;;A. Review of Medical Records:
+41 ;;
+42 ;; 1. Include a review of VA form 10-0048, Former POW Medical
+43 ;; History, which the veteran should have completed, prior to
+44 ;; conducting the examination.
+45 ;;
+46 ;;
+47 ;; 2. Review the Social Survey.
+48 ;;
+49 ;;B. Medical History (Subjective Complaints): NOTE: If the veteran
+50 ;; has had a previous protocol examination, only an interval history
+51 ;; is required.
+52 ;;
+53 ;; Comment on:
+54 ;; 1. Past medical history, including childhood and adult illnesses
+55 ;; and surgery.
+56 ;;
+57 ;;
+58 ;; 2. Family history.
+59 ;;
+60 ;;
+61 ;; 3. Social history - state civilian and military occupations,
+62 ;; including dates and locations. Describe use of alcohol,
+63 ;; tobacco, and drugs.
+64 ;;
+65 ;;
+66 ;; 4. Complete system review, commenting on all positive symptoms.
+67 ;;
+68 ;; a. Describe initial symptoms, time of onset, and current
+69 ;; symptoms of all presumptive POW disabilities found.
+70 ;;
+71 ;;
+72 ;; b. Comment on amount of weight lost as a prisoner. Record
+73 ;; initial and release weights.
+74 ;;
+75 ;;
+76 ;; 5. Describe current treatment (specify type, frequency,duration,
+77 ;; response, side effects).
+78 ;;
+79 ;;
+80 ;;C. Physical Examination (Objective Findings):
+81 ;;
+82 ;; Address each of the following and fully describe current findings:
+83 ;; The examiner should incorporate all ancillary study results into
+84 ;; the final diagnoses.
+85 ;; 1. VS: Heart rate, blood pressure (If the diagnosis of hypertension
+86 ;; has not been established, take 2 or more blood pressure readings
+87 ;; on at least 3 different days. If hypertension has been
+88 ;; diagnosed, take 2 or more blood pressure readings.), respirations,
+89 ;; height, weight, maximum weight in past year, weight change in
+90 ;; past year, body build, and state of nutrition.
+91 ;;
+92 ;;
+93 ;; 2. DOMINANT HAND: Indicate the dominant hand and how determined
+94 ;; (i.e., writes, eats, combs hair, etc.).
+95 ;;
+96 ;;
+97 ;; 3. POSTURE AND GAIT: (If abnormal, describe.)
+98 ;;
+99 ;;
+100 ;; 4. SKIN, INCLUDING APPENDAGES: (If abnormal, describe appearance,
+101 ;; location, extent of lesions, and limitations to daily activity.)
+102 ;; If there are laceration or burn scars, describe location,
+103 ;; measurements (cm. x cm.), depression, type of tissue loss,
+104 ;; adherence, disfigurement, and tenderness. For each burn scar,
+105 ;; state if due to a 2nd or 3rd degree burn. (NOTE: If skin
+106 ;; condition or scars are disfiguring, obtain COLOR PHOTOGRAPHS
+107 ;; of affected area(s).
+108 ;;
+109 ;;
+110 ;; 5. HEMIC AND LYMPHATIC: (Describe local or generalized adenopathy,
+111 ;; tenderness, suppuration, etc.)
+112 ;;
+113 ;;
+114 ;; 6. HEAD AND FACE: Describe scars, deformities, etc.
+115 ;;
+116 ;;
+117 ;; 7. EYES: Describe external eye, pupil reaction, movements,
+118 ;; field of vision, any uncorrectable refractive error or any
+119 ;; retinopathy.
+120 ;;
+121 ;;
+122 ;; 8. EARS: Describe canals, drums, perforations, discharge.
+123 ;;
+124 ;;
+125 ;; 9. NOSE, SINUSES, MOUTH AND THROAT: Include gross dental findings.
+126 ;;
+127 ;;
+128 ;; 10. NECK: Describe lymph nodes, thyroid, etc.
+129 ;;
+130 ;;
+131 ;; 11. CHEST: Inspection, palpation, percussion, auscultation. If
+132 ;; abnormal, describe limitations of daily living (i.e., How far
+133 ;; can veteran walk, how many flights of stairs can he or she
+134 ;; climb, etc.).
+135 ;;
