Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:212:p5
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 212 (pt 5/6)
Character Range: 358620–361855

and precluded activities:                          Comments   (Selection from Table 15.5)

       Impairment rating for avoided and precluded activities:  = B

    Rating B is to be included in the final combining of all ratings.

    Signature  Name (please print)  Date

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       Guide to the Assessment of  Intermittent Impairment Worksheet (2)
       Rates of Veterans' Pensions
       5th edition
File No:

 Veteran's given names:  Veteran's surname:

 Condition for assessment:

                   Number of different types of attack:

                    Type 1  Type 2  Type 3

          Severity:

          Duration:

         Intermittent grading code: Frequency:
(in number of affected days per year)

     Impairment rating: (based on attacks)

 If the combined value of the impairment ratings based on attacks is greater than the rating for the Intermittent condition based on the system-specific chapters of GARP, then the impairment ratings based on attacks are to be included in the final combining of all ratings.

 Avoided and precluded activities:                          Comments  (Selection from Table 15.5)

    Impairment rating for avoided and precluded activities:  = B

 The rating (B) for avoided and precluded activities is to be included in the final combining of all ratings.

 Signature                               Name (please print)                           Date

/ /

     Chapter 16
     Activities of Daily Living

    INTRODUCTION

    The Activities of Daily Living (ADLs) are a defined set of activities necessary for normal self-care. The activities are movement in bed, transfers, locomotion, dressing, personal hygiene, and feeding.

    These six activities are defined as follows:

    + "movement in bed" means sitting in, rising from, and moving around in, bed;

     + "transfers" means moving from one seat to another, changing position from sitting to standing, and transferring to and from the toilet and bed;

    + "locomotion" means walking on the level, on gentle slopes and down stairs;

     + "dressing" means putting on socks, stockings, and shoes, as well as clothing the upper and lower trunk;

     + "personal hygiene" means grooming, and washing of face, trunk, extremities and perineum;

    + "feeding" means eating and drinking, but not the preparation of food.

    "Effects on ADLs" is to be used to assess conditions for which criteria do not exist in the system specific tables of Chapters 1 to 12, or are inadequate, or for which the application of the tables in Chapter 14 (Malignant Conditions) or Chapter 15 (Intermittent Impairment) is inappropriate.

    Table 16.3 (Other Impairment) covers such non-specific indicators of disease as pain, lethargy and prognosis.

    This chapter is to be applied in the assessment of conditions that result in the veteran being bedfast, chairfast, housebound or nearly housebound. Such conditions include the effects of severe strokes, severe Parkinson's disease, severe heart failure, severe respiratory disease, severe liver failure, severe kidney failure and some dementias.

    ADLs may be used to rate a single condition if its effects are well-differentiated, or may be used to