ALBERTA PERMANENT CLINICAL IMPAIRMENT GUIDE - Workers ...

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MENTAL IMPAIRMENTCLASSIFICATION FOR ASSESSING MENTAL IMPAIRMENTCLASS I NO IMPAIRMENT 0%The worker:i. is able to carry on with all of the activities of daily living, andii. is able to perform work related duties without difficulty under normalconditions of stress, oriii. may exhibit intermittent pain behavior without restriction of functionalability.When evaluating a pre-existing mental condition, in addition to confirmationof the above, the work history does not reveal any time loss due to the condition.Page 68COPYRIGHT 2006 All Rights Reserved October 1, 2006
MENTAL IMPAIRMENTCLASS II MINIMAL IMPAIRMENT 1% - 10%The worker:i. is able to carry out all of the activities of daily living with somedecrease in personal and social efficiency,andii. exhibits mild anxiety in the form of restlessness, uneasiness andtension which result in minimal functional limitation, oriii. exhibits pain behavior causing a minimal restriction of functional ability,andiv. is able to function in most vocational settings but develops secondarypsychogenic symptoms under normal conditions of stress.When evaluating a pre-existing mental condition, in addition to confirmationof the above, a work history will reveal occasional time loss due to the condition(less than 10 working days in the 12 months preceding the work relatedaccident).Page 69COPYRIGHT 2006 All Rights Reserved October 1, 2006
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ALBERTAPERMANENT CLINICALIMPAIRMENT
Page 3 and 4:
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
Page 13 and 14:
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
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FINGERS/HANDSCHART 1 - THUMB AND/OR
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FINGERS/HANDSCHART 2 - TWO FINGERSP
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FINGERS/HANDSCHART 3 - THREE FINGER
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FINGERS/HANDSCHART 4 - FOUR FINGERS
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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 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: MENTAL IMPAIRMENTloss as well as gi
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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