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.

Hernia, Hiatal


Related Terms

  • Diaphragmatic Hernia
  • Hiatus Hernia
  • Mixed Hernia
  • Paraesophageal Hernia
  • Sliding Hernia
  • Type I Hernia
  • Type II Hernia
  • Type III Hernia
  • Type IV Hernia

Differential Diagnosis

Specialists

  • Gastroenterologist
  • General Surgeon

Comorbid Conditions

Factors Influencing Duration

Factors that may influence the length of disability include the type and severity of the hernia, the surgical procedure used to fix the hernia, the presence and nature of complications, and the individual's age, health status, and job requirements. The length of disability may be significantly prolonged if the hernia recurs.

Medical Codes

ICD-9-CM:
551.3 - Diaphragmatic Hernia with Gangrene; Hernia: Hiatal (Esophageal) (Sliding) Specified and Gangrenous, Paraesophageal Specified as Gangrenous; Thoracic Stomach Specified as Gangrenous
552.3 - Diaphragmatic Hernia with Obstruction
553.3 - Hernia, Hiatal

Failure to Recover

If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case.

Regarding diagnosis:

  • Did individual report heavy coughing, or straining during bowel movements?
  • Is individual pregnant or obese?
  • Did individual report heartburn or chest pain that is worse when lying flat?
  • Did heartburn sometimes wake the individual at night? Is it more noticeable in the morning?
  • Did individual have the sensation that food is sticking in the chest or upper abdomen?
  • Did individual complain of food or stomach acid regurgitation into the mouth?
  • Did individual have pre-existing, untreated GERD?
  • Did individual have a barium swallow and esophagoscopy?
  • Was a biopsy of the esophagus done? Does biopsy show Barrett's esophagus?
  • Was a motility study done?
  • Did individual have a CBC? Was there evidence of anemia?
  • Did individual also have esophageal manometry, pH telemetry, esophageal clearance studies, and an ECG?
  • Have conditions with similar symptoms been ruled out?

Regarding treatment:

  • Were antacids and drugs that decrease stomach acid secretion prescribed? Were they effective?
  • Does individual elevate the head of the bed?
  • Does individual avoid large late evening meals, highly seasoned foods, citrus juices, and alcohol?
  • Does individual wear loose-fitting clothing?
  • Does individual eat small, frequent meals?
  • Has individual increased fiber in the diet?
  • Was surgery necessary? What type of surgery was performed?

Regarding prognosis:

  • If surgery was performed, were there any complications?
  • Is individual's employer able to accommodate any necessary restrictions?
  • Does individual have any conditions that could affect the ability to recover?
  • Does individual have esophageal reflux or pre-existing GERD? Is it being treated successfully?
  • Does individual have a respiratory infection caused by aspirating stomach acid or food particles while asleep?
  • Does individual have flatulence and epigastric distention?
  • Have complications occurred such as stricture, volvulus, strangulation, or perforation that required immediate surgery?
  • Has individual made recommended lifestyle changes such as losing weight, increasing dietary fiber, and avoiding actions that increase intra-abdominal pressure?
  • Is individual older than age 40?
  • Would individual benefit from nutritional counseling and a weight loss program?

Source: Medical Disability Advisor


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