| Pain, impairment, and disability in the AMA guides. | |
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MedLine Citation:
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PMID: 15301196 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Physicians use the American Medical Association's Guides to the Evaluation of Permanent Impairment, 5th edition to evaluate millions of disability applicants each year. As major contributors to the chapter in the Guides devoted to assessing impairment associated with pain, we confronted the difficulties of incorporating pain into the Guides' overall evaluation system. Analysis of these difficulties is complicated by the paucity of research on the Guides, and by ambiguities and contradictions that pervade it. We propose that the ambiguities can be reduced if impairment is consistently defined in terms of organ or body part derangement, and disability in terms of activity limitations at the level of the whole person. We also propose a distinction between objective factors that may influence a person's ability to perform activities following injury. We suggest that when physicians examine disability applicants, they should evaluate both objective measures of organ or body part dysfunction and subjective reports of applicants -- especially ones regarding pain. We conclude that a comprehensive medical evaluation of disability applicant encompasses more than an impairment assessment. |
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Authors:
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James P Robinson; Dennis C Turk; John D Loeser |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S.; Review |
Journal Detail:
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Title: The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics Volume: 32 ISSN: 1073-1105 ISO Abbreviation: J Law Med Ethics Publication Date: 2004 |
Date Detail:
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Created Date: 2004-08-10 Completed Date: 2004-10-01 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9315583 Medline TA: J Law Med Ethics Country: United States |
Other Details:
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Languages: eng Pagination: 315-26, 191 Citation Subset: E; T |
Affiliation:
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Department of Rehabilitation Medicine, University of Washington, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living
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classification American Medical Association Disability Evaluation* Disabled Persons / classification* Humans Pain / diagnosis* Pain Measurement* Practice Guidelines as Topic* Trauma Severity Indices United States |
| Grant Support | |
ID/Acronym/Agency:
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AR/AI44724/AR/NIAMS NIH HHS; AR47298/AR/NIAMS NIH HHS; HD33989/HD/NICHD NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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