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Evaluation

Are you evaluating a patient for disability after trauma?

Age of the patient

years

Did the person work full-time prior to the injury?

Are rehabilitation services readily accessible?

Is the patient married and living with his or her spouse?

Are there adult children living within 50 miles?

Was the patient permanently impaired prior to the injury?

Is the person relatively affluent?

Select the appropriate answer for each finding

Mobility and dexterity

Cognitive and psychological

Cosmetic and disfigurement

Vision impairment

Hearing impairment

Sensation impairment

Taste and smell impairment

Pain

Sexuality and reproduction impairment

Level of disability

Highest level of eduction achieved

Results

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