Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:0:p6
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 0 (pt 6/12)
Character Range: 422169–425422

to loss of efficiency and avoidance of some tasks previously easily performed.
                                               Decreased life expectancy. Five year survival less than 75% of normal.
TWENTY                                           Intense daily (or almost daily) symptoms which are impossible to ignore, but that prevent few daily tasks. Decreased efficiency in most activities.
                                                 Marked loss of energy leads to avoidance of many daily tasks, most of which can be completed but rapidly cause fatigue.
                                               Five year survival less than 50% of normal.
THIRTY- FIVE                                  Five year survival less than 25% of normal.

No age adjustment permitted for this table

Step 5: Compare the ratings obtained in Steps 3 and 4. Take the higher rating.

The higher of the impairment ratings obtained in Steps 3 and 4 is the final impairment rating for the accepted conditions under assessment, based on ADLs.

CHAPTER 17

DISFIGUREMENT AND SOCIAL IMPAIRMENT

INTRODUCTION

This chapter is to be applied when assessing conditions that cause disfigurement and embarrassment.

Only one rating may be determined by applying this chapter for any condition or combination of conditions. The rating determined by applying this chapter is to be combined with any other ratings for the disfiguring condition or combination of conditions determined under other chapters.

Widespread skin conditions that cause avoidance of ordinary public places should also be assessed under Chapter 11 (Skin Impairment).

"Severe facial disfigurement" and "very severe facial disfigurement" are also mentioned in Chapter 24 (Degree Of Incapacity For Specific Disabilities).

Calculation of the impairment rating for disfigurement.

Follow the steps below to calculate the impairment rating due to disfigurement.

(Each step is elaborated in the following pages.)

STEP 1  Determine the impairment rating from Table 17.1 for the effect of all accepted conditions that cumulatively lead to disfigurement.                                  Page 184
STEP 2  If non-accepted conditions have contributed to the disfigurement, apply Chapter 19 (Partially Contributing Impairment) to adjust the rating determined in Step 1.   Page 186

Step 1: Determine the impairment rating from Table 17.1 for the effect of all accepted conditions which cumulatively lead to disfigurement.

For the purposes of Table 17.1, the following definitions apply:
"disfiguring condition" means any noticeable condition that causes the sufferer embarrassment in ordinary public places and may include, but is not limited to, the following :
          facial scarring;
          exfoliative skin disorders;
          disorders of gait or posture;
          involuntary facial expressions, or unusual or grotesque involuntary bodily movements;
          disorders of speech;
          vile odours which cannot be overcome by the use of deodorants or the application of normal oral hygiene;
          deficits of the visual field which may cause the veteran to lurch into people through not seeing them;
          painful conditions which may cause the veteran to cry