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.

Aplastic Anemia


Related Terms

  • Anemia Gravis
  • Ehrlich's Anemia
  • Hypoplastic Anemia
  • Refractory Anemia

Differential Diagnosis

Specialists

  • Clinical Psychologist
  • Family Physician
  • Hematologist
  • Infectious Disease Internist
  • Medical Toxicologist
  • Pharmacologist
  • Rheumatologist

Comorbid Conditions

Factors Influencing Duration

The length of disability may be influenced by the severity of symptoms, the underlying cause, the treatment required, the individual's compliance with and response to treatment, and the extent of fatigue or other complications. Other factors include previous blood transfusions, availability of a matched sibling donor for bone marrow transplant, presence of infection, severity of pancytopenia, availability of appropriate drugs for treatment, and rejection following transplant.

The individual's age is a significant factor in determining whether he or she is a candidate for bone marrow transplant because the risk of graft rejection increases with age.

Medical Codes

ICD-9-CM:
284.09 - Constitutional Aplastic Anemia, Other; Fanconis Anemia; Pancytopenia with Malformations
284.89 - Aplastic Anemias, Other Specified; Aplastic Anemia (Due to): Chronic Systemic Disease, Drugs, Infection, Radiation, Toxic (Paralytic)
284.9 - Aplastic Anemia, Unspecified; Aplastic NOS, Aregenerative, Hypoplastic NOS, Nonregenerative; Medullary Hypoplasia

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 present with symptoms consistent with aplastic anemia, such as unusual bleeding, bruising, weakness, fatigue, poor color, and perhaps shortness of breath?
  • Was diagnosis confirmed with bone marrow biopsy? Was a CBC performed?
  • Was a cytogenetic breakage study done to determine congenital aplastic anemia?
  • Does individual have acquired, congenital, or idiopathic aplastic anemia?
  • Was a thorough exposure history investigated to detect an underlying cause?

Regarding treatment:

  • Were all possible causative agents eliminated?
  • Was a bone marrow transplant indicated (for those with severe symptoms and under age 55)?
  • Was individual treated with immunosuppressive medications, antibiotics, and transfusions, because of age (greater than 55)?
  • If individual has Fanconi anemia, was androgen therapy effective or was a bone marrow transplant necessary?

Regarding prognosis:

  • Did anemia resolve as expected? For example, in acquired anemia, did symptoms resolve upon removal of the toxic substance? In pregnancy-related aplastic anemia, did anemia resolve following delivery?
  • Was a bone marrow transplant successful in resolving anemia?
  • Does individual have any comorbid conditions (cancer, heart disease, liver or kidney failure) that may affect the ability to recover?
  • Did individual suffer any complications (hemorrhage, heart failure or infection) that would influence length of disability?

Source: Medical Disability Advisor






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