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UPPER EXTREMITY RESIDUAL FUNCTIONAL CAPACITY
Name:
Claim #:
Date of Injury:
Print Name of Medical Evaluator:
Medical Specialty:
What is the first date claimants impairment(s) became severe meaning
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How to fill out upper extremity residual functional
How to fill out upper extremity residual functional
01
To fill out upper extremity residual functional, follow these steps:
02
Begin by assessing the range of motion in the upper extremities.
03
Document any limitations or restrictions in movement, such as difficulty in reaching, grasping, or manipulating objects.
04
Evaluate the strength of the upper extremities and note any weakness or muscle atrophy.
05
Assess the dexterity and coordination of the hands and fingers.
06
Consider any sensory impairments, such as loss of feeling or numbness.
07
Observe the individual's ability to perform activities of daily living that require the use of upper extremities, such as self-care tasks, household chores, or work-related activities.
08
Take into account any pain or discomfort experienced in the upper extremities during movement.
09
Use standardized assessment tools if available to provide objective measurements and to compare against population norms.
10
Consult with a medical professional or specialist if needed to ensure accurate assessment and documentation.
11
Finally, summarize the findings in the upper extremity residual functional form, including specific limitations, restrictions, and functional abilities.
Who needs upper extremity residual functional?
01
Upper extremity residual functional is needed by individuals who have impairments or disabilities affecting their upper extremities. This can include conditions such as amputations, injuries, nerve disorders, arthritis, muscle weakness, or any other condition that limits the functional abilities of the arms, hands, wrists, or fingers. The assessment is typically required for disability evaluation, vocational rehabilitation, or to determine the individual's need for assistive devices or accommodations.
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What is upper extremity residual functional?
Upper extremity residual functional refers to the evaluation of the functional capabilities of the upper body, including the arms, shoulders, and hands, after an injury or illness.
Who is required to file upper extremity residual functional?
Individuals who have experienced an injury or illness affecting their upper extremities and are seeking compensation or benefits may be required to file an upper extremity residual functional assessment.
How to fill out upper extremity residual functional?
To fill out an upper extremity residual functional assessment, individuals must provide detailed information about their medical history, current symptoms, and functional limitations in the upper extremities.
What is the purpose of upper extremity residual functional?
The purpose of an upper extremity residual functional assessment is to assess the impact of an injury or illness on the functional capabilities of the upper body and determine the level of disability or impairment.
What information must be reported on upper extremity residual functional?
Information reported on an upper extremity residual functional assessment typically includes details about the individual's medical history, current symptoms, functional limitations, and any treatments or therapies received.
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