ALBERTA PERMANENT CLINICAL IMPAIRMENT GUIDE - Workers ...

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VISIONF. Intractable diplopia not involving all fields of gaze is assessed based on theAMA Guides using diplopia field testing pro-rated to the scheduled rating inthe Alberta Guides for loss of vision in both eyes.G. Monocular (prechiasmal) ocular visual field impairments are assessed usingthe method of Esterman monocular field testing described in the AMA Guidespro-rated to the scheduled rating in the Alberta Guide for complete loss ofvision in one eye.H. Chiasmal and retrochiasmal field impairments are assessed using the methodof Esterman binocular field testing pro-rated to the scheduled rating in theAlberta Guides for complete loss of vision in both eyes.Page 42COPYRIGHT 2006 All Rights Reserved October 1, 2006
VISIONEXAMPLESEXAMPLE 1:<strong>IMPAIRMENT</strong>S (injury affecting both eyes):Post-injury: Left eye best corrected acuity = 20/200Right eye best corrected acuity = 20/60Pre-injury:Indeterminate, but no glasses worn.CALCULATION:Current combined rating = (84/16 x 4) + 14 = 35%Pre-existing combined rating = 0 (Rule B, page 40).PCI rating for the compensable loss = 35%EXAMPLE 2:<strong>IMPAIRMENT</strong>S:Left eye - compensable loss of acuity. Corrected acuity = 20/80Right eye - normal visionSchedule I does not apply.Schedule II rating for acuity of 20/80 = 6%This is the PCI rating for the compensable vision loss.Page 43COPYRIGHT 2006 All Rights Reserved October 1, 2006
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ALBERTAPERMANENT CLINICALIMPAIRMENT
Page 3 and 4:
Table of ContentsFingers/Hands(cont
Page 5 and 6:
Table of Contents8 CardiovascularSy
Page 7 and 8: I. IntroductionDETERMINING PERMANEN
Page 9 and 10: Figure 1: DETERMINING PERMANENT DIS
Page 11 and 12: Figure 2: THE PERMANENT CLINICAL IM
Page 13 and 14: Rating Permanent Clinical Impairmen
Page 15 and 16: 3. For combinations of accidents po
Page 17 and 18: FINGERS/HANDSFINGERS/HANDSI. Introd
Page 19 and 20: FINGERS/HANDS7. To obtain the PCI t
Page 21 and 22: FINGERS/HANDS7. To calculate the ra
Page 23 and 24: FINGERS/HANDSCHART 1 - THUMB AND/OR
Page 25 and 26: FINGERS/HANDSCHART 2 - TWO FINGERSP
Page 27 and 28: FINGERS/HANDSCHART 3 - THREE FINGER
Page 29 and 30: FINGERS/HANDSCHART 4 - FOUR FINGERS
Page 31 and 32: FINGERS/HANDSStep Two:Rate the dist
Page 33 and 34: EXAMPLE 2Situation:FINGERS/HANDSLef
Page 35 and 36: FINGERS/HANDSStep Six:Adjust the to
Page 37 and 38: FINGERS/HANDSStep Twelve: Rate the
Page 39 and 40: THE UPPER EXTREMITIESIII.Specific R
Page 41 and 42: THE UPPER EXTREMITIESRATING SCHEDUL
Page 43 and 44: THE LOWER EXTREMITIESTHE LOWER EXTR
Page 45 and 46: THE LOWER EXTREMITIESC. Denervation
Page 47 and 48: THE LOWER EXTREMITIES3. Replacement
Page 49 and 50: THE SPINEAn increase greater than 1
Page 51 and 52: THE SPINEThoracic and Lumbar Spine1
Page 53 and 54: HEARING LOSSD. The calculated PCI r
Page 55 and 56: HEARING LOSSHEARING LOSS TABLE 1 -
Page 57: VISIONE. Combine the impairments in
Page 61 and 62: VISIONRATING SCHEDULE IIWHOLE PERSO
Page 63 and 64: SKINSKINI. IntroductionA. The skin
Page 65 and 66: SKINTABLE I - FUNCTIONAL IMPAIRMENT
Page 67 and 68: THE CARDIOVASCULAR SYSTEMTHE CARDIO
Page 69 and 70: THE CARDIOVASCULAR SYSTEMb) laborat
Page 71 and 72: THE RESPIRATORY SYSTEMTHE RESPIRATO
Page 73 and 74: THE RESPIRATORY SYSTEMi. chronic in
Page 75 and 76: THE RESPIRATORY SYSTEMSCHEDULE II -
Page 77 and 78: THE RESPIRATORY SYSTEMClass IV SEVE
Page 79 and 80: THE BRAINTHE BRAINI. IntroductionA.
Page 81 and 82: THE BRAINiv. for disturbances of co
Page 83 and 84: MENTAL IMPAIRMENTloss as well as gi
Page 85 and 86: MENTAL IMPAIRMENTCLASS II MINIMAL I
Page 87 and 88: MENTAL IMPAIRMENTCLASS IV MODERATE
Page 89 and 90: MISCELLANEOUS CONDITIONSMISCELLANEO
Page 91 and 92: APPENDIXCOMBINED VALUES CHARTAPPEND
Page 93 and 94: APPENDIXCOMBINED VALUES CHARTPart 2
Page 95 and 96: APPENDIXCOMBINED VALUES CHARTPart 4
Page 97 and 98: Part 6 - Range: 75 - 99 x 76 - 99AP
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ALBERTA PERMANENT CLINICAL IMPAIRMENT GUIDE - Workers ...

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