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DisabilityAka: Impairment, Sick Leave

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  1. Definitions
    1. Impairment (Objective Physiologic Deficit)
      1. Loss of anatomic, physiologic or psychologic function as defined by medical evaluation
      2. Example: Lumbar Disc Herniation
    2. Disability (Subjective Functional Deficit)
      1. Activities limited by impairment
      2. Example: Difficulty waiting tables
  2. Epidemiology
    1. Americans with ongoing disabling condition: 49 million
    2. Disability preventing work or school in U.S.: 9 million
  3. Risk Factors: Groups with disproportionately greater disability
    1. Minority ethnic group
    2. Elderly
    3. Low socioeconomic group
    4. Children living in poverty
    5. Female headed households
  4. Risk Factors: Predictors of prolonged recovery
    1. Behaviors
      1. Disability out of proportion to diagnosis
      2. Exaggerated pain behavior or history of Somatization
    2. Family factors
      1. Dysfunctional family
      2. Family History of prolonged disability
    3. Comorbid conditions
      1. Substance Abuse
      2. Major Depression
    4. Workplace Difficulties
      1. Occupational dissatisfaction
      2. Difficulties with coworkers
      3. Financial or legal hardships
  5. Evaluation
    1. See Disability Evaluation
  6. Management
    1. See Disability Management
    2. See Assistive Technology
    3. See Letter of Medical Necessity
    4. See Disability Referral
  7. References
    1. (1997) Can Med Assoc J 156:680A
    2. Barron (2001) Am Fam Physician 64(9):1579
    3. Derebry (1983) J Occup Med 25:829
    4. McGrail (2001) Am Fam Physician 63(4):679

Disability NOS (C0231170)

Definition (HL7V3.0)<p>A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization. </p>
Definition (NCI)Any physical, mental, or functional impairment that limits a major activity. It may be partial or complete. (Taber's)
ConceptsFinding (T033)
EnglishDisabilities, Disability
Spanishdiscapacidad
Parent ConceptsImpaired health (C0684336), CoverageEligibilityReason (C1697998), Conceptual Entity (C1254372), Disability NOS (C0231170), Body disability AND/OR failure state (C1290904), Duplicate concept (C1274013)
SourcesAOD, CSP, HL7V3.0, MEDLINEPLUS, NCI, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Impaired health (C0684336)

Definition (NCI)Loss or abnormality of psychological, physiological, or anatomic structure or function.
ConceptsFinding (T033)
EnglishImpaired, Impaired health, Impairment
Spanishdano, debilitamiento, deterioro, injuria fisica
Parent Conceptsstate of health (C0683314), Conceptual Entity (C1254372), Body disability AND/OR failure state (C1290904)
SourcesAOD, MTH, NCI, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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