Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Craniectomy


Related Terms

  • Brain Surgery

Specialists

  • Neurosurgeon

Comorbid Conditions

Factors Influencing Duration

Factors influencing the length of disability include the specific reason for the craniectomy, success or lack of success in treating the condition, complications, coexisting diseases affecting any of the major body systems, the individual's mental and emotional stability, access to rehabilitation facilities, and the strength of the individual's support system.

Medical Codes

ICD-9-CM:
01.25 - Craniectomy, Other; Debridement of Skull NOS; Sequestrectomy of Skull
02.01 - Cranioplasty; Opening of Cranial Suture; Linear Craniectomy; Strip Craniectomy

How Procedure is Performed

Craniectomy is done in the operating room under general anesthesia. An incision is made in the scalp above the location of the hematoma, abscess, or other condition to be treated while the tissues are held open with small retractors. A bone flap is not turned. Instead, one or more small holes (burr holes) are drilled into the skull with a special drill. The edges of the burr holes are chipped away (rongeur) to enlarge the opening. If a larger opening is needed, a circular saw or a router blade craniotome may be used to connect the burr holes. The circular piece of bone is then removed, exposing a larger work surface for the surgeon.

The collection of blood, clots, or bloody fluid is suctioned out. To control vascular bleeding, the blood vessel is burned (cauterized) or clamped with clips. The brain is irrigated with saline irrigating solution until the return runs clear. A drain may be placed under the skull or dura mater and brought to the outside through a puncture hole in the scalp. The bone is not replaced, although under some circumstances, the long gap is filled with an acrylic material molded in the shape of the skull. The incision is closed and the wound is covered with a sterile dressing.

Source: Medical Disability Advisor






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