Guidelines for the assessment of permanent impairment Version 3

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edition applied to assessments of the degree of impairment that occurred during the period 1 April 2011 until30 September 2011.Appendix 2: Template for Report on ImpairmentTo standardise reporting, a ‘Template for Report on Impairment’ was included in the second edition of theseGuidelines. Reports on impairment need to provide sufficient detail and clarity on the assessment methodologyand findings obtained. For this reason the approved template is to be used when preparing reports and isincluded in Appendix 2 of these Guidelines. An electronic copy of the template can be downloaded from theWorkCover website at www.workcover.tas.gov.auThird EditionThe second edition of the Guidelines was reviewed in 2011 by Dr Dwight Dowda, resulting in expansion of therespiratory chapter of the Guidelines to incorporate the AMA 5 approach.On (insert date) the WorkCover Tasmania Board approved the third edition of the Guidelines and agreed thatthis version will apply to all assessments undertaken on or after 1 October 2011 and to all asbestos relateddiseases that fall under the jurisdiction of the Asbestos Related Diseases (Occupational Exposure Compensation Act.Version 31 October 2011
Table of ContentsPage No.Foreword ..................................................................................... iiChapter 1Introduction to these Guidelines..................................................1Chapter 2Upper Extremity Impairment .......................................................9Chapter 3Lower Extremity Impairment .....................................................13Chapter 4Spinal Impairment .....................................................................21Chapter 5Nervous System Impairment .....................................................33Chapter 6Ear, Nose and Throat and Related Structures Impairment ........38Chapter 7Mental and Behavioural Disorders Impairment ........................41Chapter 8Impairment of Other Body Systems ..........................................54Appendix 1Glossary of Terms .....................................................................64Appendix 2Template for Report on Impairment ..........................................65Version 31 October 2011
Page 1 and 2: GUIDELINES FOR THE ASSESSMENT OFPER
Page 3: ForewordThe Workers Rehabilitation
Page 7 and 8: Causation of permanent impairment1.
Page 9 and 10: 1.18 Using these Guidelines and the
Page 11 and 12: Adjustments for Effects of Prosthes
Page 13 and 14: stable and the assessment of perman
Page 15 and 16: 2.8 Although range of motion appear
Page 17 and 18: (ii) Rate the upper extremity impai
Page 19 and 20: 3.7 Use of worksheets is essential.
Page 21 and 22: Table 3.2: Lower Extremity Workshee
Page 23 and 24: Table 3.3. Impairment for ankylosis
Page 25 and 26: Table 3.4Tibial Nerve Impairment Va
Page 27 and 28: Table 4.1 Assessing spinal impairme
Page 29 and 30: Specific interpretation of the AMA
Page 31 and 32: Definitions of clinical findings co
Page 33 and 34: 4.22 When allocating the worker to
Page 35 and 36: Sexual Functioning4.30 Sexual dysfu
Page 37 and 38: 4.45 One or more end plate fracture
Page 39 and 40: 5.7 Headache or other pain potentia
Page 41 and 42: Table 5.2Criteria for rating impair
Page 43 and 44: Chapter 6Ear, Nose and Throat, and
Page 45 and 46: Scarring5% for loss of sense of tas
Page 47 and 48: 7.7 In order to measure the impairm
Page 49 and 50: impairment using precisely the meth
Page 51 and 52: Table 7.3TravelClass 1Class 2Class
Page 53 and 54: Table 7.7 Conversion TableClass1Cla
Page 55 and 56:
Psychiatric Impairment Rating Scale
Page 57 and 58:
7.21 Examples1. A worker suffers a
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Chapter 8Impairment of Other Body S
Page 61 and 62:
Pneumoconiosis (AMA 5 Guides, Secti
Page 63 and 64:
8.23 Hypertensive Cardiovascular Di
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The Digestive SystemIntroduction an
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Where there is a range of values in
Page 69 and 70:
Appendix 1GlossaryCauda equina synd
Page 71 and 72:
WorkCover Tasmania - Template for R
Page 73 and 74:
Page 75 and 76:
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