Review 8

Identification of symptom magnification is required as a part of the....
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Terms in this set (55)
Identification of symptom magnification is required as a part of the....
FCE
A non-adaptive, static approach to manipulating society with display of symptoms
Symptom magnification
The deliberate or conscious faking of symptoms and disability to avoid work or responsibility for personal gain
Malingering
Four types of symptom magnification that are unconscious.....
Refugee, symptom misinterpreter, game player, identified patient
Uses symptoms to escape an unresolvable conflict
Refugee
Responds to the physical changes in the body in an extreme manner because of difficulty processing sensory and kinesthetic input or unrealistic belief systems about the manner in which the body works
Symptom misinterpreter
Consciously attempts to convince those working with him of the reality of symptoms for positive gain
Game player
Assumes the patient role as a lifestyle
Identified patient
A common assessment to determine maximum effort
five level grip test
Looks to define the actual demands of the job through use of questionaries, interviews, observations, and formal assessments completed in the REAL work environment. Distinguish between essential and non-essential tasks.
Job demand analysis
Many FCEs include a.....Job demand analysisResources to determine the level of work for a job demand analysisDOT or O*Net 98- Interview supervisors and workers about number of job tasks - Job description - Essential vs marginal tasks - Observe workers perform each of the job tasks - Measure the physical environment, physical requirements, and frequency of the physical demandsJob Demand Analysis guidelines10 lb occasionally negligible amount frequentlySedentary work20 lb occasionally 10 lb frequently negligible amount constantlyLight work20-50 lb occasionally 10-25 lb frequently 10 lb constantlyMedium work50-100 lb occasionally 25-50 lb frequently 10-20 lb constantlyHeavy work100+ lb occasionally 50+ lb frequently 20+ lb constantlyVery heavy work0-1/3 of the dayOccasionally1/3-2/3 of the dayFrequently2/3-full dayConstantlyUsed to assess a client's physical and cognitive abilities to meet the general or specific demands of the essential functions of the job (based on the job description)Work tolerance screeningForces, angles, weights, distances, repetitions, work area layout, tools, and equipmentActivity demandsSit, stand, walk, lift, carry, bend, squat, crawl, climb, reach, stoop, and kneelFunctional abilitiesFlexibility, strength, balance, coordination, cardiovascular condition, and body mechanicsClient factorsProvides guidelines to ensure that fair employee selection processes are upheld with work tolerance screeningsEEOCSpecifies weight limits, activity tolerance in time, restrictions within the environment, the client's report of pain, and observations of the clientDocumentation of work tolerance screeningGoal is to improve the health, safety, and efficiency of the worker and the workplaceErgonomicsEvaluation of ergonomics should occur in.....The actual work environment during normal work hoursModification of the environment, the workstation, and set up (workstation checklist and dimensions of workstation)Engineering controlsModification of work habits through use of assistive devices or adaptive strategies (body mechanic training, tool maintenance, and stretching exercises)Work practice controlsChanges inline speed, staffing, and physical demands of the job, such as decreasing production rates or limiting overtime work (job rotation, equipment to prevent heavy lifting, and rest breaks)Administrative controlsProvide individuals with a process to help them identify goals for work and identify a plan for returning to workWork readinessTime for total body reconditioning1-3 monthsGoal for time participating in work hardening5-8 hours per day 5 days per week Start out with less and work to thisOutcomes focused, individualized, interdisciplinary program that addresses the medical, physical, psychological, behavioral, physical, functional, and vocational components of employability and return to work. Actual task replication.Work hardeningGross-fine motor Less-more resistive Skill-speed focused Simple-complexHierarchy of functional returnMay include warm-up and cool-down exercises, conditioning exercises, practice of body mechanics, and use of job modificationsWork hardeningSpecifically designed to restore the client's systematic, neuromuscular-skeletal function and typically involves only one discipline. The focus is on limited work tasks with more emphasis on exercise, aerobic conditioning, and educationWork conditioning- Slowed performance - Distraction - Perspiration - Increased respiratory rate - Performance or exercise pattern through decreased ROM - Ability to complete prescriber number of repetitionsSigns of overexertionEvaluation completed after a job site analysisWorksite evaluationOn-the-job assessments to determine whether the person can safely and adequately carry out the essential functions of the job with or without any reasonable accommodationsWorksite evaluationIncludes: - The essential job functions - The functional assets and limitations of the worker - The physical environment of the workplaceWorksite evaluationAllows a worker to temporarily perform job duties with less physical demand. The worker's regular duties are gradually added as he or she improves in skill and strengthLight or Modified duty programmingAn objective assessment of a person's ability to perform work-related tasks and is the core of all return to work programs. Includes review of medical records, interview, musculoskeletal screening, evaluation or physical performance, formation of recommendations, and report generation.FCEQuantifies the client's lifting capacity for comparison with future performance or with general job requirementsManual material handling evaluation (FCE)Evaluation of the client in the workplace and occurs with the consent and authorization of the employer and insurance carrierOnsite evaluation (FCE)Requires an exact duplication of all the physical demands of the target occupationSituational assessment (FCE)Core of an FCE that includes ROM, strength, sensation, volume, and soft tissue statusMusculoskeletal evaluation (FCE)The best resource to assist employers and disabled workers with reasonable accommodationsThe Job Accommodations NetworkShould focus on maintaining the employee in a productive capacity while facilitating progressive recovery, have designated staff appointed to monitor a worker's adjustment to and tolerance of work tasks, and ensure that the demand of the assignment are within the stated restrictions of the employee's abilitiesProductive modified-duty programProvides information about a person's capacities and interests for work in situations when he or she has not worked before or is looking for a new job after injury or illness.Vocational evaluationAssesses a person's potential to do any type of work. It is used to determine one's aptitudes, abilities, and interests to explore all reasonable options for workGeneral vocational evaluationAssesses a person's readiness to return to a particular occupationSpecific vocational evaluationProvides an appropriate level of support on the basis of individual needs in the work environment; it may include job training or assistance for job task completionJob coaching