VOCATIONAL ANALYSIS Flashcards

1
Q

WHAT IS VOCATIONAL ANALYSIS?

A

Vocational Analysis is a process that enables you to identify the demands of a particular job. The job demands are a description of the physical and/or mental capabilities required to perform the job. If a person is unable to perform the demands of a particular job, Vocational Analysis enables you to find a less demanding job they can perform. If SSA cannot find a less demanding job that fits the claimant’s RFC, the case is allowed.

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2
Q

WHAT IS RESIDUAL FUNCITIONAL CAPACITY?

A

A Residual Functional Capacity (RFC) is the claimant’s remaining ab8ility to function (physically or mentally) after considering their impairment. The RFC denotes the physical and/or mental capabilities by noting limitations extracted from (medical evidence) and applying them to work requirements (past and less demanding).

RFC is a subjective determination that SSA makes based on the claimant’s medical evidence. If SSA’s RFC results in a denial, you have the right and the responsibility to argue for a lower or more restrictive RFC that would result in an allowance. If the claimant’s medical evidence supports the advocate’s position on the RFC, SSA will eventually accept your argument.

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3
Q

EXERTION COMPONENTS

A

Within the Vocational Analysis, the term exertion defines any physical activity required to perform work. The most commonly used exertion criteria used by SSA are:
Lifting, carrying, Standing, Walking, Sitting, Pushing, Pulling, Strength, Fatigue

These exertion components must be within a claimant’s RFC. If they are not, SSA cannot deny the person back to work requiring these components.

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4
Q

NON-EXERTION COMPONENTS

A

There are non-exertion components of work. Examples of non-exertion components are:
Seeing, Hearing, Balance, Environment, Pain.

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5
Q

DESCRIBING LIMITATIONS

A

There are many terms used in describing a person’s physical and/or mental limitations. In physical disorders, limitations are most often measured with descriptive words like “frequently” and “occasionally.”

Frequently means you can (perform an action0 for at least one-third but less than two-thirds (cumulative) of an eight-hour workday. Occasionally means you can )perform the action) for less than one-third of an eight-hour workday.

Two other exertional abilities used by SSA to reduce a claimant’s RFC are Pushing and Pulling. These physical capabilities also use the terms “frequently” and “occasionally” to measure their severity.
“Occasionally” means that a person can push or pull for less than one-third of an eight-hour workday. A lot of jobs, especially those involving heavy equipment, require pushing or pulling.

Impairments affecting the use of a claimant’s hands, arms or legs can result in a restricted RFC. These types of impairments can also restrict a claimant’s ability to stand and walk.

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6
Q

EXERTIONAL CATEGORIES
HEAVY WORK

A

Heavy work is the ability to lift or carry 100 pounds occasionally and 50 pounds frequently, and to stand or walk six hours of an eight-hour day.

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7
Q

EXERTIONAL CATEGORIES
MEDIUM WORK

A

Medium work is the ability to lift or carry 50 pound occasionally and 25 pounds frequently and to stand or walk six hours of an eight-hour day. Medium work is an RFC given to claimants whose exertional ability is moderately limited. Moderacy is determined by medical judgment.

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8
Q

EXERTIONAL CATEGORIES
LIGHT WORK

A

Light Work is the ability to lift and carry 20 pounds occasionally and ten pounds frequently and to stand or walk six hours of an eight-hour day. Light work is an RFC given to claimants who can’t do medium work but are not restricted to sedentary work.

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9
Q

EXERTIONAL CATEGORIES
SEDENTARY WORK

A

Sedentary Work requires lifting no more than ten pounds maximum and occasionally lifting or carrying articles of lesser weight. Sedentary work is performed primarily in a seated position, up to two hours per day. There are also up to two hours per day of standing and walking required. Sedentary also requires good use of the hands and fingers for repetitive hand and finger motion.

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10
Q

EXERTIONAL CATEGORIES
LESS THAN SEDENTARY

A

Less Than Sedentary

This is not an official RFC category, but it is an RFC rating sometimes given. It will always result in the allowance of the claim. If a claimant cannot perform sedentary work, they automatically have an RFC for less than sedentary, resulting in an allowance determination.

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11
Q

STANDING AND WALKING

A

If a claimant cannot stand or walk at least six hours of an eight-hour day, with reduced use of both of his hands, then the claimant cannot do sedentary work. Similarly, if a claimant has a sedentary RFC but needs to use one hand for an assistive device, then the claimant actually has a less than sedentary RFC.

Although both of the claimant’s hands are good in this case, he needs one of them for the device, making it unavailable at work.

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12
Q

POSTURE

A

POSTURE
Posture implies the ability to bend, stoop, climb, balance, kneel, crouch, and crawl. Posture is the attitude or directional orientation of the body. Postural exertional abilities are described on a RFC as:
Never
Frequently
Occasionally

“Frequently” means that the claimant can perform the activity at least one-third but less than two-thirds of an eight-hour workday.
“Occasionally” means the claimant can do the activity less than one-third of an eight-hour workday. If the RFC gives any restrictions of posture, it must explain why the impairments justify the limitations.

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13
Q

MANIPULATION

A

Manipulation is the ability to use the hands in various positions for various tasks. Manipulative abilities include reaching, including overhead, handling (gross manipulations), fingering (fine manipulations), and feeling (skin receptors). Manipulative abilities on an RFC assessment are described as:
Limited
Unlimited
An RFC with restriction of manipulation must show why the impairment justifies the limitation. Manipulative abilities are especially relevant when a claimant is limited to using their hands less than one-third of a workday.

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14
Q

CONSIDERATIONS FOR VISUAL DISORDERS

A

RFCs describe visual abilities as limited or unlimited. If an RFC gives a restriction of vision, it must state why the impairment justifies the limitation. The RFC rating for visual limitations takes into account six factors:

Near Acuity - Near acuity is important for seeing close up, such as reading a book or typewritten papers. Cataracts and retinal disease are the most likely causes of decreased near acuity that cannot be corrected with glasses or contacts.

Good near acuity is not required for many jobs for light work or higher. Also, some sedentary jobs don’t require good near acuity. therefore, being allowed disability on the basis of limited near acuity is unlikely – especially in young claimants who have flexibility in transferring to different kinds of jobs.

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15
Q

DISTANCE VISION

A

Most decreases in distance acuity can be corrected with glasses or contact lenses and are not considered limiting. Some cases, such as those involving cataracts, can be cured with surgery. If distance acuity is limited and uncorrectable but does not meet or equal a listing, you may still be unable to perform your prior work.

Depth Perception: Depth perception is the ability to perceive how far something is from you. Depth perception is affected when a claimant is blind in one eye. Jobs such as being a pilot require good depth perception, but many other jobs don’t.

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16
Q

ACCOMMODATION

A

Accommodation is the ability of the eye lens to adjust the focus on an object. The most common cause of the inability to do this is a stiff lens resulting from aging.
Color Vision: Color vision means the ability to distinguish different colors. Limitations in color vision are usually genetic and most often limited to green and red colors. Many people with color vision deficit can still see some color.

Field of Vision: Field of vision is also known as the field of view. This refers to the ability to see objects away from the center of vision. Limited fields of vision are most often the result of glaucoma, strokes, and diabetic retinal disease.

17
Q

COMMUNICATION:

A

Communication implies the ability to speak and hear. On an RFC, the ability to communicate is measured as being limited or unlimited. If an RFC gives restrictions on speaking or hearing, it must explain why the impairments justify the limitations. Keep in mind that most hearing problems can be improved, and speech is not required in all jobs.

18
Q

ENVIRONMENTAL FACTORS

A

Environmental Factors imply sensitivity to some form of an external element that reduces the claimant’s RFC. Examples of external environmental factors are:
Extreme Cold
Extreme Heat
Noise
Vibrations
Heights
Hazardous machinery
Dust, odors, fumes, gases, poor ventilation, etc.

A claimant may suffer from a disorder like a lung disease making them extremely sensitive to environmental factors like dust or gases in the air. This would restrict that person’s ability to work these types of environments.

19
Q

ENVIRONMENTAL FACTORS

A

Environmental Factors imply sensitivity to some form of an external element that reduces the claimant’s RFC. Examples of external environmental factors are:
Extreme Cold
Extreme Heat
Noise
Vibrations
Heights
Hazardous machinery
Dust, odors, fumes, gases, poor ventilation, etc.

A claimant may suffer from a disorder like a lung disease making them extremely sensitive to environmental factors like dust or gases in the air. This would restrict that person’s ability to work in these types of environments.

20
Q

MEDICAL SIGN

A

A medical sign is a piece of objective evidence that quantifies or qualifies a disease state. For example, a biopsy with a pathological examination could reveal the existence of cancer. These findings are objective and directly point to the existence of the impairment. Signes are used most often to verify the existence of an impairment.

21
Q

MEDICAL SYMPTOMS

A

Symptoms are the physical and mental manifestations of a disease. Symptoms are usually subjective, although something like a disfigurement is very much objective and observable. Symptoms are used primarily as a means of measuring the severity of a disorder.

The worse the symptoms, the more serious the disease. Of course, this is not always the case. Symptoms are also used to identify physical limitations. For example, if a claimant needs a walker to ambulate (symptom we4ak lower limbs), this person would be limited in his ability to stand and walk.

Depending on the severity of the symptom, weak lower limbs could exclude all work requiring standing or walking.

22
Q

MENTAL IMPAIRMENT SIGNS AND SYMPTOMS

A

The most important vocational determination of the severity in a mental disorder is expressed via the mental RFC. A mental RFC shows whether you are mentally capable of doing unskilled work. The reason for this is that even if you are no longer capable of returning to your prior job that required semiskilled or skilled work, the SSA can still identify unskilled jobs.

For example, a lawyer whose work is skilled is in an automobile accident and suffers brain injury resulting in significant permanent mental impairment.

While he would not be able to return to his employment as an attorney, he may be capable of adjusting to semi or unskilled work. If so, he would be found, not disabled.

The most important restrictive elements in a mental disorder are:
Understanding and Memory
Sustained Concentration and Persistence
Adaptation
Social Interaction

The loss of any two of these capabilities would significantly impede a person’s ability to sustain work.

23
Q

AGE IN VOCATIONAL ANALYSIS

A

Age is an extremely important factor used in determining SSA disability. With all other medical factors being met, the younger or older the claimant, the more likely they will receive benefits.

1 - 18 - Child
19 - 49 - Younger individual
50 - 54 - closely approaching advanced age
55 -59 - advanced age
60 - 64 - closely approaching retirement age

Age is an important vocational factor affecting a claimant’s ability to adapt to new work situations. The lower your RFC at a particular age, the greater the chance of being found disabled. And the older you are, the greater the chance you will be found disabled with a particular RFC.

For example, a 55-year-old with a sedentary RFC has a better chance of being allowed when compared to a 30-year-old with the same RFC.

24
Q

EDUCATION IN VOCATIONAL ANALYSIS

A