Amputation Clause Samples
The Amputation clause defines the terms and conditions under which compensation or benefits are provided in the event of the loss of a limb or extremity. Typically found in insurance or employment agreements, this clause outlines what constitutes an amputation, the process for verifying such an injury, and the specific benefits or payments that will be made to the affected party. Its core practical function is to ensure that individuals who suffer a significant physical loss receive appropriate financial support, thereby allocating risk and providing clarity regarding entitlements in such circumstances.
Amputation. No Yes (describe) PODIATRIC: Does the resident have podiatric concerns requiring treatment or which impair ability to ambulate or transfer? No Yes (describe) TASK LEVEL OF ASSISTANCE COMMENTS Toileting: (Getting to/from and on/off the toilet, cleansing self after elimination and adjusting clothing) Independent: Able to toilet independently with or without assistive device. Intermittent Assistance: Able to toilet with minimal intermittent assistance and/or supervision. Continual Assistance: Able to toilet with constant assistance and/or supervision. Total Assistance: Unable to toilet. Requires total assistance with toileting. Ostomy Yes No Comments: Bathing: (Getting in and out of tub or shower, washing and drying entire body) Independent: Able to bathe or shower independently with or without assistive device. Intermittent Assistance: Able to bathe or shower w/minimal intermittent assistance and/or supervision. Continual Assistance: Able to bathe or shower with constant assistance and/or supervision. Total Assistance: Unable to use shower or tub. Bathed in bed or at bedside. Comments: Dressing: (Getting clothes from closets and drawers, dressing and undressing upper/lower body including buttons, snaps, zippers, socks and shoes) Independent: Able to dress and undress independently with or without assistive device. Intermittent Assistance: Able to dress and undress with minimal, intermittent assistance and/or supervision. Continual Assistance: Requires assistance throughout the dressing and undressing process. Total Assistance: Requires another person to dress and undress upper and lower body. Comments: New York State Department of Health ASSISTED LIVING RESIDENCE Division of Assisted Living RESIDENT EVALUATION Resident’s Name: _ Facility Name: _ Date of Evaluation: _ SECTION 4: PHYSICAL FUNCTION Cont. TASK LEVEL OF ASSISTANCE COMMENTS Grooming: (Washing face, hair care, shaving, teeth/denture, fingernail care, eyeglasses care) Independent: Able to groom self independently with or without assistive device. Intermittent Assistance: Requires grooming utensils to be set up and placed within reach. Continual Assistance: Requires assistance throughout the grooming process. Total Assistance: Depends entirely upon someone else for grooming. Comments: Transportation: (Physical and mental ability to safely use a car, taxi, or public transportation [bus, train, subway) Independent: Able to independently drive a regular or a...
Amputation. Of One Or More Extremities. Severe Brain Or Brain Stem Injury. Second Or Third Degree Burns.
Amputation. Amputation is considered when revascularization is not feasible due to the location and extent of atherosclerosis, when a patients is unable to tolerate a procedure, or when a patient is unlikely to have a functional extremity despite restoration of distal flow (e.g. due to dementia, chronic illness, etc.). While amputation does eliminate the source of pain at rest and all necrotic tissue,11 it is associated with a significantly elevated perioperative and one year mortality rate.1, 6, 16
Amputation. Spinal Cord injuries (including Paraplegia or Quadriplegia)
Amputation. Major Multiple Trauma
Amputation. Such services must be provided by a licensed occupational therapist or licensed occupational therapist assistant, who is an employee of the Hospital. Benefits shall not be provided for any other occupational therapy services including, but not limited to: Training to compensate for perceptual impairment; Teaching and practicing the activities of daily living; Developing prevocational capacity.
Amputation requiring a prosthesis;
Amputation. Such services must be provided by a licensed occupational therapist or licensed occupational therapist assistant, under the direct supervision of a Physician. A session is defined as a visit to the Occupational Therapist not to exceed four (4) hours per day. Benefits shall not be provided for any other occupational therapy services including, but not limited to: Perceptual training to compensate for perceptual impairment; Teaching and practicing the activities of daily living; Developing prevocational capacity.
Amputation. Neurological Impairment involves the nervous system and affects the ability to move, use, feel, or control certain parts of the body. Neurological impairments can be the result of congenital anomaly (e.g., cerebral palsy), the result of disease (e.g., poliomyelitis), or the result of an accident (e.g., spinal cord injury, head trauma).
Amputation. Major orthopedic surgery;