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.

Skin Graft


Related Terms

  • Allograft
  • Autograft
  • Full-thickness Skin Graft
  • Heterograft
  • Isograft
  • Partial-thickness Skin Graft
  • Pedicle Graft
  • Split-thickness Graft
  • Xenograft

Specialists

  • Hand Surgeon
  • Plastic Surgeon

Comorbid Conditions

  • Diabetes mellitus
  • Immune system disorders
  • Injury or loss of bone, muscle, tendon, vessels, and or nerves.
  • Vascular disease

Factors Influencing Duration

The length of disability will be influenced by the location and size of the damaged tissue area, the cause and severity of the wound, the extent of the surgery, and whether the individual is also the donor of the skin graft.

Medical Codes

ICD-9-CM:
86.60 - Skin Graft, Free, Not Otherwise Specified
86.61 - Skin Graft, Full-thickness to Hand
86.62 - Skin Graft to Hand, Other
86.63 - Skin Graft, Full-thickness to Other Sites
86.69 - Skin Graft to Other Sites

Ability to Work (Return to Work Considerations)

Vigorous activity should be avoided for 6 weeks after the surgery. The type of work, the location of the wound, and the extent of the surgery will influence any specific work restrictions or special accommodations. For example, skin grafts on hands, feet, fingers, or toes often require splinting to immobilize the extremity. Consequently, these individuals may need temporary job reassignment until there is full return of strength and function. Likewise, special precautions may be needed to keep the grafted area dry, clean, and protected from injury (bumps or strains). Follow-up doctor appointments will be necessary after this procedure.

Risk: Risk for re-injury would depend on the original injury or condition, the size and location of the wound requiring skin grafting, and any associated injury or loss of bone, muscle, tendon, vessels, and or nerves.

Capacity: Smaller skin grafts will result in less loss of function and allow for a greater capacity of activities. Capacity is influenced by the original injury or condition, the size and location of the wound requiring skin grafting, and any associated injury or loss of bone, muscle, tendon, vessels, and or nerves. Composite tissue grafts may require 4 to 6 weeks for incorporation of the graft into the host and vascular ingrowth (engraftment).

Tolerance: Pain is common with skin grafts. Wound healing at the donor and recipient site takes time. Composite tissue grafts usually require longer periods of pain management.

Accommodations: Accommodation is the key to return to work. Small skin grafts may allow for early return to regular work dependent on the job demands. However, job demands can impact the ability to return to work. For example, a dish washer will not be able to get a skin graft on his or her hand wet for several weeks, but if the employer could move the individual to table clear-up, the option to return to work earlier might be accomplished.

Source: Medical Disability Advisor






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