DVBCWTB4 ;ALB/RLC TRAUMATIC BRAIN INJURY (TBI) WKS TEXT - 3 ; 12 FEB 2007
 ;;2.7;AMIE;**183**;Apr 10, 1995;Build 8
 ;
 ;
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. State whether or not the veteran had a TBI during service.
 ;;    2. List each diagnosis and, for each, indicate if associated with a
 ;;       service-related TBI.
 ;;    3. 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.
 ;;
 ;;    4. 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.
 ;;
 ;;The VA/DoD definition of TBI is included below for your information.
 ;;
 ;;
 ;;Signature:                                     Date:
 ;;TOF
 ;;
 
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DVBCWTB4  ;ALB/RLC TRAUMATIC BRAIN INJURY (TBI) WKS TEXT - 3 ; 12 FEB 2007
 +1       ;;2.7;AMIE;**183**;Apr 10, 1995;Build 8
 +2       ;
 +3       ;
TXT       ;
 +1       ;;   X. Consciousness
 +2       ;;      a. Normal.
 +3       ;;      b. Persistently altered state of consciousness, such as vegetative
 +4       ;;      state, minimally responsive state, coma.
 +5       ;;
 +6       ;;Other comments.
 +7       ;;
 +8       ;;NOTE:  To clarify Item VII above:  "Instrumental activities of daily living"
 +9       ;;       refers to activities other than self-care that are needed for
 +10      ;;       independent living, such as meal preparation, doing housework and other
 +11      ;;       chores, shopping, traveling, doing laundry, being responsible for one's
 +12      ;;       own medications, and using a telephone.  These activities are
 +13      ;;       distinguished from "Activities of daily living", which refer to basic
 +14      ;;       self-care and include bathing or showering, dressing, eating, getting
 +15      ;;       in or out of bed or a chair, and using the toilet.
 +16      ;;
 +17      ;;D.  Diagnostic and Clinical Tests:
 +18      ;;
 +19      ;;    1. Skull X-rays to measure bony defect, if any, due to surgery or injury.
 +20      ;;    2. Include results of all diagnostic and clinical tests conducted in the
 +21      ;;       examination report.
 +22      ;;
 +23      ;;E.  Diagnosis:
 +24      ;;
 +25      ;;    1. State whether or not the veteran had a TBI during service.
 +26      ;;    2. List each diagnosis and, for each, indicate if associated with a
 +27      ;;       service-related TBI.
 +28      ;;    3. Capacity to manage financial affairs
 +29      ;;       Mental competency, for VA benefits purposes, refers only to the ability
 +30      ;;       of the veteran to manage VA benefit payments in his or her own best
 +31      ;;       interest, and not to any other subject.  Mental incompetency, for VA
 +32      ;;       benefits purposes, means that the veteran, because of injury or disease,
 +33      ;;       is not capable to managing benefit payments in his or her own best
 +34      ;;       interest.  In order to assist raters in making a legal determination
 +35      ;;       as to competency, please address the following:
 +36      ;;
 +37      ;;       a. What is the impact of injury or disease on the veteran's ability to
 +38      ;;          manage his or her financial affairs, including consideration of such
 +39      ;;          things as knowing the amount of his or her VA benefit payment,
 +40      ;;          knowing the amounts and types of bills owed monthly, and handling
 +41      ;;          the payment prudently?  Does the veteran handle money and pay the
 +42      ;;          bills himself or herself?
 +43      ;;       b. Based on your examination, do you believe the veteran is capable of
 +44      ;;          managing his or her financial affairs?  Please provide examples to
 +45      ;;          support your conclusion.  If you believe a Social Work Service
 +46      ;;          assessment is needed before you can give your opinion on the
 +47      ;;          veteran's ability to manage his or her financial affairs, please
 +48      ;;          explain why.
 +49      ;;
 +50      ;;    4. Note:  When a mental disorder is present, state, or ask the mental
 +51      ;;       disorders examiner to state, to the extent possible, which
 +52      ;;       emotional/behavior signs and symptoms are part of a co-morbid mental
 +53      ;;       disorder and which represent residuals of TBI.  If it is impossible to
 +54      ;;       make such a determination without speculation, so state.
 +55      ;;
 +56      ;;The VA/DoD definition of TBI is included below for your information.
 +57      ;;
 +58      ;;
 +59      ;;Signature:                                     Date:
 +60      ;;TOF
 +61      ;;