Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:4:p3
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 4 (pt 3/3)
Character Range: 322660–324709

of conditions.

     Chapter 12
     Endocrine and Haemopoietic
     Impairment

    This chapter contains two parts:

    Part 12.1      -    Loss of Endocrine Function
Part 12.2      -    Loss of Haemopoietic Function

    INTRODUCTION

    Part 12.1 is to be applied to assess loss of function of the endocrine system. The endocrine system consists of all the glands and tissues which secrete hormones and the mechanisms by which the secretion of those hormones is regulated.  The functions of the endocrine system are very diverse and include control of growth, of sexual function, of calcium metabolism and of the uptake of glucose by body cells.

    Part 12.2 is to be applied to assess loss of haemopoietic function. The haemopoietic system consists of all the tissues, such as bone marrow and lymph nodes that produce blood cells.

     PART 12.1: THE ENDOCRINE SYSTEM

    Many endocrine conditions will affect various other body systems. Hence, loss of endocrine function is established by assessing the effect of the condition on those other body systems. In very severe cases, where many body systems are affected, Table 16.2 in Chapter 16 (Activities of Daily Living) is to be applied to rate the loss of function.

    In many cases, an endocrine condition will be under therapeutic control as a result of the use of continuous replacement therapy or the like. In these cases, the effect on other body systems may be minimal and the veteran's principal inconvenience is that of undergoing the continuous therapy. This is to be assessed by applying the Other Impairment tables.

Calculation of the impairment rating for loss of endocrine function

 Follow the steps below to calculate the impairment rating due to accepted loss of endocrine function.

 (Each step is elaborated in the following pages.)

 STEP Establish which body systems are affected by the Page
  1 accepted endocrine condition. 194

 STEP Determine an impairment rating for functional Page
  2 impairment of the affected body systems. 194

 STEP