Risk and disability evaluation in the workplace:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia
Hanley & Belfus
2000
|
| Schriftenreihe: | Occupational medicine
15,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XII S., S. 677 - 830 graph. Darst. |
| ISBN: | 1560533285 |
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| adam_text | Occupational Medicine: State of the Art Reviews
Vol. 15, No. 4, October December 2000
RISK AND DISABILITY EVALUATION IN THE WORKPLACE
Edited by David C. Randolph, MD, MPH, FAADEP, and
Mohammed I. Ranavaya, MD, MS, FAADEP, CIME
CONTENTS
Neuromusculoskeletal Conditions of the Upper Extremity: Are they
Due to Repetitive Occupational Trauma? 677
Peter A. Nathan, Kenneth D. Meadows
The significance of neuromusculoskeletal conditions in the workplace is the subject
of much discussion among occupational medicine professionals. There are differing
philosophies as to what constitutes appropriate diagnostic criteria for identification of
these conditions. The traditional diagnostic model requires the presence of objective
pathology. An emerging symptom based model accepts that symptoms by themselves
can constitute a diagnostic entity. The extent to which these conditions are considered
to be associated with occupational activity depends greatly upon which of the two
models is employed. This chapter presents an overview of each diagnostic model and
a discussion of the impact each has on the prevalence of identified conditions and the
manner in which the various diagnostic requirements can affect treatment, prevention,
and disability rating protocols. Occup Med 15:677 693, 2000.
S.P.I.C.E.—A Model for Reducing the Incidence and Costs
of Occupational^ Entitled Claims 695
Alan L. Colledge, Hugh I. Johnson
A review of national statistics and recent studies strongly suggests that current ad¬
ministrative and medical systems, when applied to managing workers compensa¬
tion claims and other disability related benefit programs, are often ineffective and
costly, and can even promote disability. With numerous medical and occupational
health articles published daily, it is difficult to develop practical strategies for daily
management of disability claims that make use of current information. It is the au¬
thors view that a comprehensive, dynamic model for management exists within the
military s Forward Treatment methodology. This model, originally published in
The Journal of Occupational Rehabilitation, has been expanded to include those
methods demonstrated in literature to both reduce claims and deal with them in an
efficient, fair, and timely manner. Because military personnel and employed indi¬
viduals arc similarly entitled, the military s proven model can be effective in reduc¬
ing claim rates and costs associated with workers compensation as well as short
and long term disability programs. The model, given the acronym S.P.I.C.E.,
includes five components: Simplicity. Proximity, Immediacy. Centrality, and
Expectancy. Occup Med 15:695 722,2000.
iii
iv Contents
Unified Fitness Report for the Workplace 723
Alan L. Colledge, Richard E. Johns, Jr
Fitness statements often are required of physicians by patients, employers, govern¬
mental agencies, and insurance providers to determine if the patient is fit for duty.
Physicians making these ability statements are legally obligated to carefully justify
them when placing or excluding individuals from the workplace. The Americans
with Disabilities Act (ADA) mandates that medical providers use justifiable criteria
and rational thought when determining the capability and risk of an individual. This
chapter reviews the legal requirements of the ADA for employers and physicians and f
presents a uniform methodology that both can use to determine the performance
capability of an individual with a temporary or permanent impairment or disability.
Occup Med 15:723 737, 2000.
The Importance of Illness Behavior in Disability Management 739
Leon H. Ensalada
Abnormal illness behaviors, ranging from non deliberate distortion to intentional de¬
ception, are associated with clinical phenomena that lie along a continuum from un¬
conscious symptom exaggeration to psychiatric disorders and malingering. Failure to
recognize abnormal illness behavior leads to inappropriate treatment and erroneous es¬
timates of impairment or disability. This review is divided into three sections. First, ba¬
sic terms are defined, including dissimulation, distortion, deception, misattribution,
false imputation, and malingering. Second, syndromes characterized by abnormal ill¬
ness behavior are described, including somatization, somatoform disorders, factitious
disorders, and symptom magnification. Third, methods for detecting deception are il¬
lustrated, including maximum voluntary effort assessment, objective personality in¬
ventories, and symptom validity testing. Occup Med 15:739 754,2000.
Management of Chronic Pain and Control of Long Term Disability 755
Gerald M. Aronoff, Jeffrey B. Feldman, Thomas S. Campion
Chronic pain has become a major public health problem. Often, the availability of
entitlement programs as well as psychosocial, occupational, and other nonmedical
factors—rather than objective pathophysiology—are major contributors to disabil¬
ity. In this chapter, the authors discuss the relationship between impairment and dis¬
ability and detail factors likely to predict or contribute to adverse clinical outcome
and disability. Guidelines for disability prevention also are examined. Occup Med
15:755 770, 2000.
Assessment and Management of Upper and Lower Extremity
Impairment and Disability 771
James B. Talmage
The assessment and management of occupational and nonoccupational injuries and
illnesses of the extremities require knowledge of the same concepts of impairment
and disability that are used when evaluating or treating problems of other body sys¬
tems. Dr. Talmage discusses the need for an accurate and objectively verifiable di¬
agnosis and focuses on upper extremity pain in workers and the term tendinitis.
The concept of maximal medical improvement is considered, with examples of knee
injuries to the menisci and localized articular cartilage defects. Causation controver¬
sies are explored using carpal tunnel syndrome as the example. The impairment rat¬
ing process is illustrated by use of the AMA Guides system. A checklist to insure
completeness of the examination of extremity problems is offered. Disability as¬
sessment and management is discussed, with an emphasis on the difference between
abilities (capacities) and risk based restrictions. The author concludes with thoughts
on how to minimize disability. Occup Med 15:771 788, 2000.
Contents v
Worksite Disability Management Model for Effective
Return to Work Planning 789
Donald E. Shrey
The growth of disability management programs represents a paradigm shift from tra¬
ditional clinic based rehabilitation services to worksite based interventions that dra¬
matically reduce lost time and costs. Supportive policies and steps in the return to
work process are illustrated, from the point of worker injury and early intervention,
through work ability assessment, return to work planning, job site accommodation,
and successful return to work. Creative return to work options, including job
banks, are discussed as practical methods to facilitate the worker s gradual return
to full duty status while completing the medical recovery process. Worker, worksite,
and community resource factors related to rcturn to work outcomes are discussed.
Occup Med 15:789 801,2000.
Psychosocial Factors and Risk of Pain and Disability 803
Timothy Proctor, Robert J. Gatchel, Richard C. Robinson
This article reviews the research on the risk ol pain and disability due to psychoso¬
cial variables. Variables such as general distress, psychopathology. depression,
abuse, and catastrophizing are discussed in relation to the risk of disability. Ways to
conceptualize the complex relationships among pain, disability, and several psy¬
chosocial variables are also explored. In addition, the identification of adaptive and
of protective ways to manage pain and decrease the risk of disability is highlighted.
Finally, the authors recommend areas for future research. Occup Med 15:
803 812, 2000.
Use of Functional Employment Testing to Facilitate Safe
Job Placement 813
David C. Randolph
Functional testing has evolved to a new sophistication, and is currently used in a va¬
riety of situations to assist the employer and physician in safely placing an individ¬
ual at the job site. The functional capacity evaluation can be employed in several
ways, not only to place individuals safely in jobs, but also to monitor their progress
throughout recovery from an injury or illness and aid in the establishment of voca¬
tional counseling and planning. Many legal issues now alter employer techniques for
hiring and assigning people to jobs. This state of affairs places increasing importance
on functional testing. Occup Med 15:813 821, 2000.
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| spelling | Risk and disability evaluation in the workplace guest ed.: David C. Randolph ... Philadelphia Hanley & Belfus 2000 XII S., S. 677 - 830 graph. Darst. txt rdacontent n rdamedia nc rdacarrier Occupational medicine 15,4 Arbeidsomstandigheden gtt Gezondheid gtt Risicoanalyse gtt Disability Evaluation Disability evaluation Workplace Berufskrankheit (DE-588)4005920-0 gnd rswk-swf Krankheitsverhalten (DE-588)4032850-8 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Berufskrankheit (DE-588)4005920-0 s Krankheitsverhalten (DE-588)4032850-8 s DE-604 Randolph, David C. Sonstige oth Occupational medicine 15,4 (DE-604)BV000700973 15,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009265174&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Risk and disability evaluation in the workplace Occupational medicine Arbeidsomstandigheden gtt Gezondheid gtt Risicoanalyse gtt Disability Evaluation Disability evaluation Workplace Berufskrankheit (DE-588)4005920-0 gnd Krankheitsverhalten (DE-588)4032850-8 gnd |
| subject_GND | (DE-588)4005920-0 (DE-588)4032850-8 (DE-588)4143413-4 |
| title | Risk and disability evaluation in the workplace |
| title_auth | Risk and disability evaluation in the workplace |
| title_exact_search | Risk and disability evaluation in the workplace |
| title_full | Risk and disability evaluation in the workplace guest ed.: David C. Randolph ... |
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| title_full_unstemmed | Risk and disability evaluation in the workplace guest ed.: David C. Randolph ... |
| title_short | Risk and disability evaluation in the workplace |
| title_sort | risk and disability evaluation in the workplace |
| topic | Arbeidsomstandigheden gtt Gezondheid gtt Risicoanalyse gtt Disability Evaluation Disability evaluation Workplace Berufskrankheit (DE-588)4005920-0 gnd Krankheitsverhalten (DE-588)4032850-8 gnd |
| topic_facet | Arbeidsomstandigheden Gezondheid Risicoanalyse Disability Evaluation Disability evaluation Workplace Berufskrankheit Krankheitsverhalten Aufsatzsammlung |
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