ALBERTA PERMANENT CLINICAL IMPAIRMENT GUIDE - Workers ...

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THE RESPIRATORY SYSTEMSCHEDULE I - UPPER RESPIRATORY SYSTEMCONDITIONRhinitis - when recurrent and unresponsive to treatment orwithdrawal from exposure.* with or without ulcerationUlceration - if recurrent and unresponsive totreatment or withdrawal from exposure.Perforation (nasal septum)Trauma - resulting in an obstruction of part of the upperrespiratory system:minorsignificant*asymptomaticsymptomaticWholePersonRating (%)15515Noseunilateralminorsignificant13bilateralminorsignificant25Tracheaminormoderate510Tracheostomy scar without obstructionSuccessful permanent tracheostomy or stoma025Page 58COPYRIGHT 2006 All Rights Reserved October 1, 2006
THE RESPIRATORY SYSTEMSCHEDULE II - LOWER RESPIRATORY SYSTEMClass I NO <strong>IMPAIRMENT</strong> 0%No dyspnoea is present dueto respiratory diseaseANDPulmonary function testsresults are more than 80% ofthe predicted valueClass II MILD <strong>IMPAIRMENT</strong> 10 - 24%More dyspnoea thanexpected for the worker's ageon fast walking on the levelor on climbing two flights ofstairsANDPFT OBSTRUCTIVE RESTRICTIVEFVC N/A 60% - 80% ofpredicted valueFEV 1 60% - 80% of predicted value N/ADL CO Normal or slightly abnormal 65% - 80% ofpredicted valueMAX.VO 2 60% - 80% of predicted value 60 - 80% ofpredicted valuePage 59COPYRIGHT 2006 All Rights Reserved October 1, 2006
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ALBERTAPERMANENT CLINICALIMPAIRMENT
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Table of ContentsFingers/Hands(cont
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Table of Contents8 CardiovascularSy
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I. IntroductionDETERMINING PERMANEN
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Figure 1: DETERMINING PERMANENT DIS
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Figure 2: THE PERMANENT CLINICAL IM
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Rating Permanent Clinical Impairmen
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3. For combinations of accidents po
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FINGERS/HANDSFINGERS/HANDSI. Introd
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FINGERS/HANDS7. To obtain the PCI t
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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 and 58: VISIONE. Combine the impairments in
Page 59 and 60: VISIONEXAMPLESEXAMPLE 1:IMPAIRMENTS
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: THE RESPIRATORY SYSTEMi. chronic in
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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