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Medicina y Seguridad del Trabajo

versão On-line ISSN 1989-7790versão impressa ISSN 0465-546X

Resumo

VICENTE PARDO, José Manuel. Impact of pain on disability: valuation methodology. Degrees of functional limitation. Med. segur. trab. [online]. 2014, vol.60, n.234, pp.133-142. ISSN 1989-7790.  https://dx.doi.org/10.4321/S0465-546X2014000100011.

The approach to the assessment of pain and crippling labor is extremely difficult by the need to objectify and measure the pain and limitations imposed by the need to relate them to the skills required for the job. Also evaluate the therapeutic servitude or the impact it may cause analgesia in the development of their work. More complicated issue is to differentiate clinical exaggeration or oversizing of the patient, and even more the simulator component. You can not speak of pain in the singular, as there are many types of pain and also each manifests differently depending on the characteristics and conditions of the causal process and the subject itself. This work aims to present a methodology for evaluating work in consulting work capacity, some considerations regarding the possible simulation of pain, a protocol and finally a gradation of the limitations that may assist in the complex task of assessing the pain disability as a component added to the resulting functional limitations of their cause. Conclusions: Only a correct methodology in the medical assessment of work capacity and a direct reference to limiting gradation can lead to an adequate labor clinical judgment in part to eliminate the subjective component of pain and completed the objectification of the resulting damage in their ability to work and lost abilities that may be required at work. This paper provides considerations to mitigate the problems in decision-making in medical assessment of work capacity and greater realization of the limitations and conclusions in medical evaluation reports.

Palavras-chave : pain; disability; valuation methodology.

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