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.

Epilepsy


Related Terms

  • Epileptic Convulsions
  • Epileptic Fits
  • Idiopathic Seizure Disorder
  • Recurrent Seizures
  • Seizure Disorder

Differential Diagnosis

Specialists

  • Neurologist
  • Neurosurgeon

Comorbid Conditions

  • Brain injury
  • Complications from kidney disease
  • Congenital brain abnormalities
  • Liver disease

Factors Influencing Duration

The frequency of seizures, response to treatment, and side effects of medications may influence disability. The work environment and duties of the individual may also affect duration. Tasks such as driving that expose the individual or others to injury in the event of a seizure would not be acceptable for an individual whose seizures are not under control.

Medical Codes

ICD-9-CM:
345.10 - Generalized Convulsive Epilepsy without Mention of Intractable Epilepsy
345.11 - Generalized Convulsive Epilepsy with Intractable Epilepsy
345.2 - Petit Mal Status, Epileptic Absence Status
345.40 - Localization-Related (Focal) (Partial) Epilepsy and Epileptic Seizures, Complex Partial Seizures, without Mention of Intractable Epilepsy
345.41 - Localization-Related (Focal) (Partial) Epilepsy and Epileptic Seizures, Complex Partial Seizures, with Intractable Epilepsy
345.70 - Epilepsia Partialis Continua without Mention of Intractable Epilepsy
345.71 - Epilepsia Partialis Continua with Intractable Epilepsy
345.90 - Epilepsy, Unspecified, without Mention of Intractable Epilepsy
345.91 - Epilepsy, Unspecified, with Intractable Epilepsy

Ability to Work (Return to Work Considerations)

An individual with epilepsy may be unable to perform jobs that require operating machinery, driving motor vehicles, or working from heights. Special precautions should be taken for those individuals at risk of recurrent seizures. These rules may be gradually relaxed if an individual remains seizure-free for a period of at least 1 year.

Individuals with epilepsy should wear a medical identification bracelet or carry an informational card to aid in obtaining proper medical treatment if a seizure occurs.

Risk: Typical work restrictions for individuals with epilepsy involve removal from safety-sensitive work tasks and conditions in which significant injury to the self or others could occur during a seizure. Drowsiness from medications may be an additional issue of risk. Generally no work at unprotected heights.

Capacity: Between seizures, capacity in individuals with seizure disorders is not affected. As long as risk is adequately addressed, individuals with epilepsy may work without limitations.

Tolerance: Some individuals with epilepsy may dislike working, fearing that a potentially embarrassing seizure may occur in the workplace. In this case, tolerance becomes an issue of choice (to work or not to work) and is not a reason for reduced capacity or disability.

Source: Medical Disability Advisor






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