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.

Absence Seizures


Related Terms

  • Absence Spells
  • Generalized Nonconvulsive Epilepsy
  • Minor Epilepsy
  • Petit Mal Epilepsy
  • Petit Mal Seizures

Differential Diagnosis

Specialists

  • Internal Medicine Physician
  • Neurologist
  • Neurosurgeon
  • Pediatric Neurologist

Comorbid Conditions

  • Hepatic disease
  • Neurologic conditions
  • Renal disease

Factors Influencing Duration

The type, duration, and frequency of seizures, individual response to medications, and presence of complications may influence disability.

Medical Codes

ICD-9-CM:
345.00 - Generalized Nonconvulsive Epilepsy without Mention of Intractable Epilepsy
345.01 - Generalized Nonconvulsive Epilepsy with Intractable Epilepsy; pharmacoresistant (pharmacologically resistant); poorly controlled; refractory (medically); treatment resistant
345.11 - Generalized Convulsive Epilepsy with Intractable Epilepsy
345.2 - Petit Mal Status, Epileptic Absence Status

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:

  • Does individual have short periods where he or she seems "absent?" Were these episodes reported by the family or the individual?
  • How frequently do these episodes occur?
  • Is the neurologic examination normal?
  • Has an EEG demonstrated abnormal brain wave activity?
  • Has CT or MRI been done to rule out structural causes of seizures?
  • Has individual undergone a complete workup, including psychiatric evaluation, to rule out other conditions with similar symptoms (e.g.,., head injury, brain infections, brain tumor, stroke, drug intoxication, and withdrawal from alcohol, narcotics, cocaine, tranquilizers, and sleeping pills)?

Regarding treatment:

  • Has treatment with anticonvulsants lessened or stopped seizure activity?
  • Does individual rest properly at night?
  • Is individual avoiding use of alcohol, tobacco, and caffeine?
  • Has there been progression to generalized tonic-clonic seizures?
  • If so, has this condition been addressed in the treatment plan?
  • Have adjustments been made in the medication?

Regarding prognosis:

  • Has individual been restricted from driving or operating potentially dangerous machinery?
  • Is individual's employer able to accommodate these restrictions?
  • Does individual have any underlying conditions that contribute to seizures (e.g., congenital brain abnormalities, complications from kidney disease, liver disease, or brain injury)?
  • Have these conditions been addressed in the treatment plan?
  • Has individual experienced any associated complications that could impact recovery and prognosis (learning disabilities, seizure-related trauma, status epilepticus, or grand mal seizures)?

Source: Medical Disability Advisor






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