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Iatrogenic Disability

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Newsletter Articles
Guides Newsletter (2000) 5 (3): 1–3.
Published: 01 May 2000
... to the Evaluation of Permanent Impairment. Evaluators must recognize that MCS claimants often present with comorbid psychiatric conditions, and iatrogenic disability also is a concern among MCS patients. © 2000 American Medical Association. All Rights Reserved. 2000 American Medical Association...
Newsletter Articles
Guides Newsletter (2022) 27 (2): 3–7.
Published: 01 March 2022
... touch points from which iatrogenic injury, through inaccurate impairment and disability determinations, can occur. The problems may not be outright negligence or fraud, and may instead be lack of knowledge. We acknowledge the possibility (perhaps likelihood) that a treating clinician who writes a sick...
Newsletter Articles
Guides Newsletter (2021) 26 (6): 15–18.
Published: 01 November 2021
...Fabien Gagnon, MD, PsyD; Les Kertay, PhD Given the increase in psychiatric occupational disability claims over the past 20 years, better patient psychiatric assessment and management is critical. To minimize iatrogenic psychiatric disability and maximize positive outcomes, it is important...
Newsletter Articles
Guides Newsletter (2019) 24 (3): 3–9.
Published: 01 May 2019
...Garson Caruso, MD, MPH; Les Kertay, PhD The first part of this two-part series discusses psychological influences in delayed and failed recovery and resulting unnecessary work disability; the second part discusses theoretical and practical aspects of the issue, including evaluation and treatment...
Newsletter Articles
Guides Newsletter (2019) 24 (4): 3–14.
Published: 01 July 2019
... caught up in a compensation context, such as WC or disability (eg, iatrogenicity and Type II medical malpractice), * and a large body of research has documented worse outcomes for medical conditions managed in compensation systems. 4 , 5 Keeping inappropriate claims out of these compensation...
Newsletter Articles
Guides Newsletter (2018) 23 (4): 11–13, 16.
Published: 01 July 2018
... somatizing individuals into the medical care system. The result may be iatrogenic disability. Medicalization is associated with the emergence of an increasing number of functional somatic syndromes including those for whom a medical basis remains unclear. 15 These may include chronic fatigue syndrome...
Newsletter Articles
Guides Newsletter (2019) 24 (2): 15.
Published: 01 March 2019
... © 2019 American Medical Association. All Rights Reserved. 2019 American Medical Association Caruso G. Biopsychosocial Considerations in Unnecessary Work Disability. Psychol In and Law, 2013, 6:164-182x Abstract: Objectives To explore agreement among healthcare professionals...
Newsletter Articles
Guides Newsletter (2021) 26 (6): 3–14.
Published: 01 November 2021
... of available information and exercise great care to avoid iatrogenic effects, including over-investigation and under-investigation and treatment, and the causation of unnecessary work disability. It is intuitively obvious that prevention, both of the initial infection and sequelae, should be a primary...
Newsletter Articles
Guides Newsletter (2000) 5 (4): 1–3, 10.
Published: 01 July 2000
... preexisting, benign discomfort; providing a new disease attribution for it; and admitting somatizing individuals into the medical care system. The result may be iatrogenic disability. Medicalization is associated with the emergence of an increasing number of functional somatic syndromes, including those whose...
Newsletter Articles
Guides Newsletter (2022) 27 (1): 3–6.
Published: 01 January 2022
..., treatment, and restrictions reinforce and worsen mental and social health opportunities. Be attentive to avoiding iatrogenic, psychological, financial, and other social harms. Identify opportunities for support, transitioning/retraining, reorientation of unhelpful thoughts, and amelioration of worry...
Newsletter Articles
Guides Newsletter (2007) 12 (3): 1–3, 8-15.
Published: 01 May 2007
... diagnoses, often instill within a patient or reinforce a preexisting belief that something is seriously wrong. This often leads to iatrogenic, or system-induced, disability, and further direct and indirect costs. Patients may be enticed into filing a lawsuit by advertisements from attorneys offering...
Newsletter Articles
Guides Newsletter (2015) 20 (6): 6–12.
Published: 01 November 2015
...) approach to treatment. There is clear scientific evidence that an FR treatment approach not only reduces disability but may also reduce impairment either directly by reducing pain complaints or indirectly by reducing or eliminating iatrogenic complications that result in increased impairment ratings...
Newsletter Articles
Guides Newsletter (2017) 22 (3): 6–13, 16.
Published: 01 May 2017
... opinion is inaccurate, the potential for harm is much greater. The person can potentially receive the wrong diagnosis and treatment, and the person's health is not restored. These professional actions can cause iatrogenic disability ( Kosny et al., 2011 ; Spengler et al. 2009 : Stolper et al. 2011...
Newsletter Articles
Guides Newsletter (2008) 13 (3): 1–13.
Published: 01 May 2008
..., and waiting list delays block more appropriate management and early return to work ( Waddell & Burton 2004 ). It is important to avoid iatrogenic disability: first, do no harm. The primary goal of health care is to relieve symptoms, and it is implicitly assumed that will restore function. For those...
Newsletter Articles
Guides Newsletter (2021) 26 (3): 8–13.
Published: 01 May 2021
... However, others are left with chronic pain, impairment, and disability. Motor symptoms and signs (stiffness and weakness) are most likely to persist, while sudomotor and vasomotor symptoms and signs are most likely to improve. Pain and sensory symptoms are reported worst among patients with the longest...
Newsletter Articles
Guides Newsletter (2005) 10 (5): 8–11.
Published: 01 September 2005
.... A treating physician knowledgeable about the use of the Guides may be the appropriate professional to evaluate impairment in certain circumstances. However, in cases dealing with issues such as pain, disability, and medicolegal (forensic) issues, a truly independent medical examiner typically is more...
Newsletter Articles
Guides Newsletter (2008) 13 (3): 14–18.
Published: 01 May 2008
... others, seemingly suffering no lesser injury, either do not enter into a disability status role or recover much earlier.” Loeser and Sullivan (1995) argue that adequate science is not available to rate disability in the chronic low back patient, and that the disability evaluation becomes iatrogenic...
Newsletter Articles
Guides Newsletter (2003) 8 (5): 1–9.
Published: 01 September 2003
... based on the individual's ability to perform activities of daily living and may require neuropsychological testing. The evaluation of TBI impairment and disability is by no means a simple undertaking for any clinician, and evaluators must familiarize themselves with disability and impairment evaluation...
Newsletter Articles
Guides Newsletter (2011) 16 (4): 1–11.
Published: 01 July 2011
... this understanding and therefore rationally must be considered a potential source of iatrogenic (system caused), and therefore unnecessary, disability. Physicians who strive to help their patients recover from work- or accident-associated injuries are often viewed as adversaries by attorneys who would prefer...
Newsletter Articles
Guides Newsletter (2001) 6 (5): 1–4, 11.
Published: 01 September 2001
... of determining sexual disability by incorporating objective, laboratory-based data in order to render more reliable and valid determinations, including whether the patient has received appropriate treatment and is at maximum medical improvement. MSD is of organic, psychogenic, mixed, or indeterminate cause...