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Childhood SSI and Moving About and Manipulating Objects

     Parents applying for childhood SSI benefits are often confused by how the Social Security Administration evaluates the claim. The SSA looks at the child's functioning in terms of six domains. This entry dealing with Moving About and Manipulating Objects is the fourth in a series discussing domains of function.  In this domain, SSA considers how the child moves her body from one place to another and how she moves and manipulates things, i.e. gross and fine motor skills.

     Newborns and infants should begin to explore their world by moving their body and by using their limbs. They should learn to holding their head up, sitting, crawling, and standing, and sometimes holding  onto a stable object and stand actively for brief periods.

     Older infants and toddlers should begin to explore actively a wide area of the physical environment, using their body with steadily increasing control and independence from others. They should begin to walk and run without assistance, and climb with increasing skill.

     Preschool children should be able to walk and run with ease. Your gross motor skills should let you climb stairs and playground equipment with little supervision, and let you play more independently; e.g., you should be able to swing by yourself and may start learning to ride a tricycle. Your fine motor skills should also be developing.

     School-age children's gross motor skills should let them move at an efficient pace about school, home, and neighborhood. Increasing strength and coordination should expand their ability to enjoy a variety of physical activities, such as running and jumping, and throwing, kicking, catching and hitting balls in informal play or organized sports.

     Adolescents should be able to use motor skills freely and easily to get about school, the neighborhood, and the community. They should be able to participate in a full range of individual and group physical fitness activities.

    Examples of limited functioning in moving about and manipulating objects:

  • Trouble climbing up and down stairs, or have jerky or disorganized locomotion or difficulty with your balance.
  • Difficulty coordinating gross motor movements (e.g., bending, kneeling, crawling, running, jumping rope, or riding a bike).
  • Difficulty with sequencing hand or finger movements.
  • Difficulty with fine motor movement (e.g., gripping or grasping objects).
  • Poor eye-hand coordination when using a pencil or scissors.

Driver negligence may be factor in fatal Tennessee crash

Authorities are still investigating a fatal accident last year in Tennessee's Great Smoky Mountains National Park that ended the life of a teenager. Reports indicate that the teenager was driving northbound on the Spur, a roadway between two popular tourist towns, when he struck another vehicle that was pulling onto the Spur from an adjoining roadway. The question for authorities now is whether driver negligence on the part of either driver was a factor in the accident.

The result of this collision was tragic injuries and loss of life. Two passengers in the teenager's car, also teens, were injured in the collision. The driver of the vehicle that was struck, a 34-year-old man, died from the injuries he sustained after his vehicle was hit. Now, a bitter dispute has emerged regarding who was at fault and should be held responsible.

Workers' Compensation in Tennessee Fundamentally Changed!

     Workers' Compensation in Tennessee will change dramatically for employers, workers, and state government alike as of July 1, 2014. The public policy underlying this system has been turned upside down by the "Workers' Compensation Reform Act of 2013." The legislation developed almost entirely from a consultant's report prepared by four out-of-state consultants selected by the Tennessee Department of Labor and Workforce Development is the most significant change to the Tennessee workers' compensation system since its creation.

     The Bill is more than sixty-five pages in length and is made up of more than one hundred individual sections. It would be impractical to attempt to discuss the specific changes in this article. The changes in public policy brought about by the legislation, however, deserve consideration. The legislation adopts three changes in public policy in Tennessee which have been fundamental to the Tennessee's workers' compensation system since 1919.

     First, the concept of compensating an injured employee for that person's loss of earning capacity when he or she has suffered an injury has been abandoned. The 2013 legislation eliminates the principle of compensation for an individual's lost earning capacity and replaces it with the principle that a worker, who is permanently injured, is compensated for anatomical or functional loss only. In the past, earning capacity was evaluated on an individual basis allowing for consideration of factors that make up the unique profile of the injured worker with the objective of compensating the injured worker for the specific loss experienced by that person. Under the new legislation, the principle of compensation for functional loss incorporates a method of compensation that is uniform across the working population. Essentially, two workers in the same community who suffer the same injury and are similar in age will receive equivalent compensation whether the worker is an orthopedic surgeon or a manual laborer.

     The second major change in public policy brought about by the 2013 legislation is the removal of Tennessee's elected judges as the appropriate persons for workers' compensation dispute resolution and replacing the Courts with the Executive Branch. The legislation provides for Executive Branch appointment and supervision of Department of Labor judges, and abandons our current system where judges are elected and remain independent.

     The third notable change in public policy, and the change most likely to be overlooked by the casual observer, is that the 2013 legislation strongly implies a forfeiture by the General Assembly of the opportunity to exercise oversight and determine public policy for the workers' compensation system by shifting that role to the Executive Branch. This change is manifested in the legislation not only by the creation of judges who are appointed and supervised exclusively by the Executive Branch, but also by the significant expansion of the rule making authority of the Executive Branch, spanning it across all major aspects of the workers' compensation system from establishment of procedures to conduct judicial hearings to the management of the daily medical treatment decisions of injured workers.

Workers' compensation: Tennessee dangerous for workers?

In a humbling reminder of how quickly, and how devastating work accidents can be, Knoxville has come together to remember those who have lost their lives in the course of their employment. According to data compiled by the Workers' Compensation Division of the Tennessee Department of Labor and Workforce Development, along with OSHA, more than 160 Tennessee workers died from work accident injuries in 2011 and 2012. Now the people are calling for action.

One worker remembered was electrocuted on a construction site. His family believes that the working conditions were not safe or adequate, and that their loved one's death could have been prevented. Reports from the governing agencies indicate that employers should be proactive in developing more effective "injury prevention programs."

Childhood SSI and Interacting and Relating to Others

     Parents applying for childhood SSI benefits are often confused by how the Social Security Administration evaluates the claim. The SSA looks at the child's functioning in terms of six domains.  This entry dealing with Interacting and Relating with Others is the third in a series discussing domains of function.  

     In this domain, the SSA considers how well the child initiates and sustains emotional connections with others, develops and uses the language of the community, cooperates with others, complies with rules, responds to criticism, and respects and takes care of the possessions of others.

     Newborns and young infants begin to form intimate relationships at birth by gradually responding visually and vocally to caregiver(s), through mutual gaze and vocal exchanges, and by physically molding her body to the caregiver's while being held. 

     Older infants and toddlers are dependent upon caregivers, but should begin to separate from them. The child should be able to express emotions and respond to the feelings of others, as well as begin initiating and maintaining interactions with adults, but also show interest in, then play alongside other children their age.

     Preschool children should be able to socialize with children as well as adults and should begin to prefer playmates their own age and start to develop friendships with children their age.  The child should be able to use words instead of actions to express themselves, and also be better able to share, show affection, and offer to help.

     School-age children should be able to develop more lasting friendships with children who their age and understand how to work in groups to create projects and solve problems.  They should be well able to talk to people of all ages, to share ideas, tell stories, and to speak in a manner that both familiar and unfamiliar listeners readily understand.

     Adolescents should be able to initiate and develop friendships and to relate appropriately to other children and adults, both individually and in groups. They should begin to be able to solve conflicts between themelves and peers or family members or other adults. They should be able to intelligibly express feelings, ask for assistance in getting needs met, seek information, describe events, and tell stories, in all kinds of environments, and with all types of people.   

Truck accident kills 1, injures 3 after truck was hit from behind

Accidents involving large trucks can be more devastating than those involving smaller vehicles due to their size, weight and force. While a truck accident can happen due to the negligence of the truck driver, it is important to remember that a truck driver is also susceptible to injury due to the negligence of another party. Recently, a truck accident on Highway 45 near South Fulton appears to demonstrate just that.

According to the Tennessee Highway Patrol, a Department of Transportation Freightliner truck had been patching holes along Highway 45 when a passenger car struck the truck from behind. The force of the impact caused the rear axle of the truck to be pushed forward. The driver of the dump truck, a 56-year-old man, was injured in the accident, though reports do not detail the exact nature or extent of his injuries. His passenger, a 55-year-old woman was also injured.

Childhood SSI Claims and Attending and Completing Tasks

     Parents applying for childhood SSI benefits for their child are often confused by how the Social Security Administration evaluates and decides the claim. If a child does not meet a "Listing", one must assess the claimant's functioning in terms of six domains: (1) acquiring and using information; (2) attending and completing tasks; (3) interacting and relating with others; (4) moving about and manipulating objects; (5) caring for yourself; and (6) health and physical well-being to see whether there is extreme or marked limitations.

     This entry dealing with Attending and Completing Tasks is the second in a six part series.  In this domain, the SSA considers how well the child is able to focus and maintain attention, and how well the child begins, carries through, and finishes activities.  Attention involves regulating your levels of alertness and initiating and maintaining concentration. It involves the ability to filter out distractions and to remain focused on an activity or task at a consistent level of performance. 

     Newborns and infants should show sensitivity to his environment by responding to various stimuli and soon thereafter should fix his gaze upon a human face. The child should stop activity when he hears voices or sounds. 

     Older infants and toddlers should be able to attend to things that interest her and have adequate attention to complete some tasks by herself.

     Preschool children should be able to pay attention when spoken to directly, sustain attenion in play and learning activities, and concentrate on activities like putting puzzles together or completing art projects.

     School-age children (age 6 to attainment of age 12) should be to focus attention in a variety of situations in order to follow directions, remember and organize school materials, and complete classroom and homework assignments.

     Adolescents (age 12 to attainment of age 18) you should be able to pay attention to increasingly longer presentations and discussions, maintain your concentration while reading textbooks, and independently plan and complete long-range academic projects.

     Examplies of limited functioning in Attending and Completing Tasks are:

  • Easily startled, distracted, or overreactive to sounds, sights, movements, or touch.
  • Slow to focus on, or fail to complete activities of interest.
  • Repeatedly become sidetracked from activities or frequently interrupt others.
  • Easily frustrated and give up on tasks, including ones capable of completing.
  • Require extra supervision to keep engaged in an activity.

Accident on I-75 in Tennessee causes personal injury to 3

Any car accident can be devastating, but accidents involving multiple vehicles can be even more so due to the number of vehicles and individuals who may be affected. One recent accident on Interstate 75 in Tennessee is an unfortunate example of just how injurious such accidents can be. According to reports, at least three individuals have suffered personal injury in this accident.

Authorities report that both northbound travel lanes of I-75 had to be shut down to allow LIFESTAR medical transport helicopters to land. Two unidentified individuals were transported to the hospital via helicopter. A third unidentified individual was taken to the hospital by ground ambulance. In reports immediately following the accident, the conditions of the victims was not released.

Tragic Knoxville accident kills 1, causes personal injury to 3

Three people are injured and one has died in a recent Knoxville car accident. According to Tennessee Highway Patrol officials, a car and pickup truck collided, causing the serious personal injury. It is reported that the car was traveling northbound on Lovell Road when it collided with the pickup truck heading southbound. Initial reports did not indicate which vehicle crossed the line and caused the accident.

Authorities stated that the driver of the car, a 50-year-old woman, was injured in the collision. A passenger in her car, a 29-year-old woman, unfortunately did not survive. A second passenger in the car, whose identity and age was not revealed, was also injured.

Childhood SSI and Domain of Acquiring and Using Information

     Parents applying for childhood SSI benefits for their child are often confused by how the Social Security Administration evaluates and decides the claim.  This blog entry will be the first part of a series talking about "domains of functioning." A child has to have an impairment or combination of impairments that meets or equals an impairment listed in the regulations.  If an impairment does not "meet" a listed impairment, disability may be established if the child's impairment is medically or functionally equivalent.

     One must assess the claimant's functioning in terms of six domains: (1) acquiring and using information; (2) attending and completing tasks; (3) interacting and relating with others; (4) moving about and manipulating objects; (5) caring for yourself; and (6) health and physical well-being.

     One must compare how appropriately, effectively and independently the claimant performs activities compared to the performance of other children of the same age who do not have impairments. The claimant's impairment or combination of impairments must result in "marked" limitations in two domains of functioning or an "extreme" limitation in one domain.

     Acquiring and using information. In this domain, SSA considers how well the child acquires or learns information, and how well the child uses the learned informaiton.  Learning and thinking begin at birth.  Things considered in this domain are: comprehending oral instructions; understanding school and content vocabulary; reading and comprehending written material; comprehending and doing math problems; understanding and participating in class discussions; providing organized oral explanations and adequate descriptions; expressing ideas in written form; learning new material; recalling and applying previously learned material and applying problem-solving skills in class discussions. 

     Also considered are whether the child:

  • cannot demonstrate understanding of words about space, size, or time; e.g., in/under, big/little, morning/night
  • cannot rhyme words or the sounds in wordshas difficulty recalling important things you learnedin school yesterday
  • has difficulty solving mathematics questions or computing arithmetic answers
  • talks only in short, simple sentences and have difficulty explaining what you mean.

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