PULHEEMS for the assesment of individual health-1.pptx

health

1. SURG CAPT EO NYARKO PUBLIC HEALTH DIVISION PULHEEMS

2. INTRODUCTION Modern warfare makes increasing demands on Service Personnel. High degree of physical capacity needed Also an increasing level of intelligence essential for the technical applications of science. Emotional stability assumes an added importance in determining conduct under war conditions Precise selection of personnel on both physical and mental grounds is crucial.

3. INTRODUCTION Success of a fighting service depends on the capacity of each component member to fulfil completely the individual tasks assigned to him/her. PULHEEMS assesses the individual characteristics of the man. The requirements of the occupation in which he is to be employed. Emphasis: the final assessment allotted to any individual must rest with the medical officer responsible for allocating it. Final decisions rests on sound clinical judgement.

4. DESCRIPTION OF SYSTEM PULHEEMS is a system of medical classification used in the Armed Forces. It involves; a detailed qualitative estimation of the individual. a quantitative analysis of the employment requirements, expressed in the same terms. The final assessment allotted to any individual depends on the clinical judgment of the medical officer responsible for allocating it. It should be based on function, that is the capacity of the work involved in a given type of duty.

5. QUALITIES QUALITY FULL MEANING P Physical Capacity U Upper Limbs L Locomotion H Hearing (Hearing Acuity) EE Eyesight (Visual Acuity) M Mental Capacity S Stability ( Emotional)

6. QUALITIES PHYSICAL CAPACITY - Guide to pers general physical development and potential capacity to acquire physical stamina with training. UPPER LIMBS – Functional use of the hands, shoulder girdle and upper spine. Manual dexterity. LOCOMOTION – Functional efficiency of a man’s locomotor system. Symptomless ‘flat feet’ etc do not count. Efficiency of the lumbar vertebrae, pelvis, hip joints, thighs, knees and legs. HEARING – Acuity only. Diseases are assessed under P.

7. QUALITIES EYESIGHT – Visual Acuity only. Diseases are assessed under P. MENTAL – assessment depends on selection test results, record of school and occupational progress and the impression he gives on personal interview (alertness and intelligence). STABILITY – May be assessed by good history of mental disorder in family, signs of emotional, intellectual or character disorder.

8. DEGREES There are 8 degrees under each quality: DEGREE FUNCTIONAL CAPACITY COMBATANT CAPACITY CLIMATIC RESTRICTION 1 Above Average Full Nil 2 Average Full Nil 3 Below Average Full Ghana Only 4 Below Average Full Ghana Only 5 Below Average Restricted Ghana Only 6 Below Average Restricted Ghana Only 7 Markedly Diminished Restricted Service in Ghana Only 8 MEDICALLY UNFIT FOR ANY FORM OF SERVICE

9. PULHEEMS CAGE 1 Year of Birth P U L H E E M S HT.................. P CP.................. U Wt.................. L S

10. PULHEEMS CAGE 2 Date of Classification Year of Birth P U L H E E M S Initials Of MO

11. DEGREES OF EACH QUALITY P U L H E E M S 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 4 - - - 4 4 - - 5 - - - 5 5 - 5 6 - - - 6 6 - - 7 7 7 7 7 7 7 7 8 8 8 8 8 8 8 8

12. ASSESSMENT Temporary Assessments Can be remedied by surgery or other treatment eg Hernia R is inserted for the quality after the number If discharged and temporarily cannot return to duty, The letter O is inserted before the P . Used only when under medical care and off duty.

13. Medical Examination Physical Examination Head and Neck Systemic Upper Limbs Locomotion Hearing Eyes Colour Perception Mental Capacity Stability (Emotional)

14. EXAMPLE Year of Birth P U L H E E M S 74 1 1 1 1 1 1 2 2 HT.......1.72..... P CP.......2......... U Wt.......60....... L S

15. EXAMPLE Year of Birth P U L H E E M S 80 3R 2 1 1 1 1 2 2 HT......1.76...... P For three months Medical Board: 4.6. 07 Small L Inguinal Hernia Operable CP.....3.......... U Wt......70........ L S

16. EXAMPLE Year of Birth P U L H E E M S 68 5 3 1 1 1 1 2 2 HT.......1.72..... P Amputation of middle finger (L) CP.......2......... U Wt.......60....... L S

17. EXAMPLE Year of Birth P U L H E E M S 85 7 7 2 2 6 6 2 2 2 1 HT.......1.72..... P Ankylosed Left Elbow Medical Board 1.4.08 CP.......2......... U Wt.......60....... L S

18. EXAMPLE Year of Birth P U L H E E M S 74 8 2 2 1 8 8 2 2 6 5 HT.......1.78..... P Defective Vision CP.......1......... U Wt.......67....... L S

19. PULHEEMS EMPLOYMENT STANDARD FE - FORWARD EVERYWHERE BE – BASE EVERYWHERE LE – LINES OF COMM EVERYWHERE HO – HOME ONLY