ALBERTA PERMANENT CLINICAL IMPAIRMENT GUIDE - Workers ...
ALBERTA PERMANENT CLINICAL IMPAIRMENT GUIDE - Workers ...
ALBERTA PERMANENT CLINICAL IMPAIRMENT GUIDE - Workers ...
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SKINTABLE II - FUNCTIONAL <strong>IMPAIRMENT</strong> - SKIN OF OTHER AREAS ****• Scalp and trunk• Upper extremity (both, excluding hands)• Lower extremity (both, excluding feet)• Feet• Right hand• Left hand(figures are rating percentages)Description of the LesionExtent of Lesion(proportion ofsurface of entireunit affected)e.g., scalp andtrunk, or bothfeet, etcMildlyConspicuousScarGood skin coverwith dyshydrationand/or loss ofhair folliclesModeratelyConspicuousHypertrophicscars orLichenification/Dyskeratosis,and difficulty withextremetemperatures orMildPhotosensitivitySeverelyConspicuous ScarPoor skin cover,frequent or chronicbreakdown anddifficulty with extremetemperatures or severephoto-sensitivityUp to 1/3 of unitsurface1/3 to 2/3 of unitsurfaceover 2/3 of unitsurface0 - 2 0 - 5 0 - 83 - 5 6 - 10 11 - 154 - 8 9 - 15 16 - 25NOTE:Each unit (area) listed must be rated separately. Use the combinedRatings Chart (see Appendix) to achieve the total rating.Page 50COPYRIGHT 2006 All Rights Reserved October 1, 2006