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Author: Grafiati

Published: 10 December 2022

Last updated: 28 January 2023

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1

Elizabeth, Genovese, Galper Jill S, and American Medical Association, eds. Guide to the evaluation of functional ability: How to request, interpret, and apply functional capacity evaluations. Chicago: American Medical Association, 2009.

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2

Wasserstein, Chantal. Seḳer haʻarakhah tifḳudit shel ʻaḳarot bet nekhot: Functional evaluation of disabled housewives. Yerushalayim: ha-Mosad le-viṭuaḥ leʼumi, Minhal ha-meḥḳar ṿeha-tikhnun, 1999.

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3

Institute, Pennsylvania Bar. What every attorney needs to know about Alzheimer's disease. Mechanicsburg, Pennsylvania: Pennsylvania Bar Institute, 2014.

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4

ʻInbar, Leʼah. Ṭahalikh ḳeviʻat kosher hiśtakrut shel nakhim: Hashṿaʼah benleʼumit ṿe-hafaḳat leḳaḥim 2007. Yerushalayim: ha-Mosad le-viṭuaḥ leʼumi, Minhal ha-meḥḳar ṿeha-tikhnun, 2007.

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5

Saunders, Robin L. Functional capacity evaluation: The Saunders method. The Saunders Group, 1998.

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6

(US), National Research Council. Measuring Functional Capacity and Work Requirements: Summary of a Workshop (Compass Series). National Academies Press, 2000.

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7

Assessment of Older Adults with Diminished Capacity. ABA, 2005.

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8

Price, Marilyn. Disability Evaluations. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199387106.003.0013.

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Mental health professionals frequently participate in the disability application process. Standards and requirements for a finding of disability may vary considerably from one context to another. A disability carrier may request that a mental health professional perform an independent medical examination. This chapter discusses the concepts of work capacity, functional impairment, and disability as they apply to disability evaluations performed for the most common types of disability insurers (Social Security, workers’ compensation, and private insurers), as well as work-related evaluations involving the Americans with Disabilities Act, fitness for duty and return to work, and disability in the context of litigation. Ethical issues in performing disability evaluations are addressed, including differences in the roles of the treating clinician and the independent forensic evaluator and management of situations where the evaluator’s opinion differs from that of the claimant and the claimant’s attorney.

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9

Institute, Pennsylvania Bar, ed. What every attorney needs to know about Alzheimer's disease. [Mechanicsburg, Pa.]: Pennsylvania Bar Institute, 2008.

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10

Jennifer, Moye, ABA/APA Assessment of Capacity in Older Adults Project Working Group., American Bar Association. Commission on Law and Aging., and American Psychological Association, eds. Assessment of older adults with diminished capacity: A handbook for lawyers. Washington, D.C: American Bar Association Commission on Law and Aging, 2005.

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11

Sullivan, Mark D. Health as the Capacity for Action. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780195386585.003.0006.

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Objective definitions of health and disease are favored because they promise a value-free measure of health problems and health care needs. But objective health does not simply cause the subjective experience of health. Self-rated health predicts mortality, disability, and hospitalizations for up to a decade after controlling for objective measures of health. Objective tissue abnormalities cannot be discovered to be pathological without reference to the experiences of patients acting in their natural environment. Patients adapt to chronic illness and its functional deficits over time with real improvements in their quality of life. Problems like pain and depression do not distort quality of life assessments, but are at their core. Since neither objective nor subjective models of health are valid, we must derive a different model: health as capacity for action. Any adequate approach to health must foster the patient’s sense of agency, her capacity to achieve her vital goals.

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12

Harvey, Philip D., and Felicia Gould. Cognitive Functioning and Disability in Post-Traumatic Stress Disorder. Edited by Charles B. Nemeroff and Charles R. Marmar. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190259440.003.0016.

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In many respects, PTSD is a disorder of cognition and memory in specific: individuals with the condition have trouble remembering details of the trauma when they want to and remember them in other situations where they do not want to, such as in nightmares and flashbacks. In addition, a growing literature has explored performance on other cognitive performance measures in PTSD. A new development is the study of the ability to perform critical everyday functional skills, referred to as functional capacity, which themselves are highly cognitively demanding. Our review of the literature on cognition and PTSD suggests two main conditions. There are several areas of cognitive functioning where people with PTSD perform below normative standards, on average. These domains include memory, attention, and executive functioning. However, there is also substantial evidence to suggest that impairments in cognition are present before the onset of other symptoms and may be a risk factor for the development of PTSD. A careful examination of the levels of performance of PTSD patients suggests that performance may not be worse than pre-illness functioning. Interventions aimed at cognition may still be beneficial, because a small literature consistently finds that cognitive impairments are correlated with indicators of everyday disability in people with PTSD.

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13

Piechowski, Lisa Drago. Forensic Mental Health Concepts. Oxford University Press, 2015. http://dx.doi.org/10.1093/med:psych/9780195341096.003.0002.

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This chapter discusses the linkage between the legal and the clinical aspects of forensic work, generally termed “forensic mental health concepts.” More specifically, it examines forensic mental health concepts that are relevant to the evaluation of disability and demonstrates how these concepts can assist the evaluator in developing a plan for forensic mental health assessment. The chapter first defines relevant concepts and terms such as disability, work capacity, condition, symptoms, impairment, occupational demands, job duties, and functional abilities. It then considers disability as a legal competency, along with four components common to almost all legal competencies: functional, causal, interactive, and judgment. Finally, it outlines the six-step process of a disability evaluation.

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14

Kapural, Leonardo. Lumbar Disc Procedures: Fluoroscopy. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0023.

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Discogenic lumbar pain is a frequent cause of prolonged disability. Currently, there are few effective minimally invasive therapeutic options to treat diseased discs and provide a long-term pain relief. Intradiscal biacuplasty improves functional capacity and affords pain relief in properly selected patients. Provocative discography is a relatively invasive intradiscal technique that has been used as a diagnostic tool to help to detect painful discs and associated morphological changes. One of the effective therapeutic approaches to control discogenic pain is to use an ablative radiofrequency intradiscal procedure, like biacuplasty. Intradiscal electrothermal therapy (IDET) is currently in limited use. Serious complications of intradiscal procedures are rather rare.

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15

Widera, Eric, and Rachelle Bernacki. Dementia. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0154.

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Dementia is caused by a variety of disorders that result in a progressive loss of both cognitive and functional abilities. Despite the heterogeneity of disorders, there is a common set of problems that patients and families face living with this syndrome. Symptoms such as pain, eating difficulties, depression, and agitation are all common. As the disease progresses to the advanced stages, the different disorders share a common functional trajectory that includes persistently severe disability with complete dependence on others for basic activities of daily living. Care for individuals with dementia should involve a number of important palliative interventions. Advance care planning should occur early on in the disease process as it is anticipated that an individual will lose capacity to make medical and financial decisions at some point in their illness; specialized programmes for end-of-life care, such as hospice, should be considered for all patients with advanced dementia.

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