
spring cleaning *Re:Disability definition please**
Any comments?
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Subj: Re:Disability definition please
Date: 97-03-13 19:53:44 EST
From: Jawcracker
Disability is an alteration of an individual's capacity to
meet personal, social, or occupational demands, or statutory or
regulatory requirements, because of an impairment. This refers to an
activity or task the individual cannot accomplish.
Impairment is a medical issue which is a deviation from normal
in a body part or organ system and its functioning. Permanent
impairment is one that has become static or stabilized and is unlikely
to change in spite of further medical or surgical therapy.
The evaluation and rating of a TMJ impairment can be graded as
follows:
1. disk derangement
2. range of motion
3. surgery
4. diet
Ex. A person has a total joint replacement of one joint,
can open to 22mm with 5mm lateral excursions and is limited to a soft
diet.
Joint reconstruction 20%
Limited opening 7%
Limited lateral 3%
Soft diet 8%
Total impairment 38% of whole person
(from AMA's Guides to the evaluation of permanent Impairment
and Recommended guide to the evaluation of permanent impairment of the
TMJ, Phillips, et al)
Subj: Re: stats
Date: 97-03-13 20:06:39 EST
From: Jawcracker
Up to 75% of non-patient {*filter*} population have one sign of
joint dysfunction
33% of persons have at least one symptom
joint sounds occur in about 50% of non-patient pop.
women to men ratio up to 9:1
Temporomandibular disorders are often remitting, self-limiting,
or fluctuating over time.
Despite the large percentages of the population having signs
and symptoms, only between 5-7% actually need treatment. Nevertheless,
it is estimated that 17,800,000 work days are lost each year for every
100,000,000 full-time working {*filter*}s.
(from Oro{*filter*} Pain - Guidelines for assessment, diagnosis, and
management)