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MSK III & IV > Occupational Medicine > Flashcards

Occupational Medicine Flashcards

1
Q

Medical care and compensation for injuries and diseases which occur as a result of employment

A

occupational health

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2
Q

Branch of medicine concerning the maintenance of health in the workplace, including prevention and treatment of diseases and injuries

A

Occupational medicine

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3
Q

Name some participants of occupational health

A

employees
employers
medical providers
case managers
vocational consultants
insurance companies
governmental agencies

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4
Q

What does the present day “no fault” system mean?

A

employers must provide workers’ compensation
-medical care
-indemnity- loss of earning power

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5
Q

In the state of colorado is there a cap on wages for compensation and settlements for employers?

A

yes

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6
Q

Since the early 1990s claim frequency of work related injuries have ____.

A

declined

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7
Q

Why have the frequency of work related injuries decline?

A

improvement in work conditions
aging workforce
competitive labor markets
technology
indirect impacts of OSHA

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8
Q

Is colorado a designated state and what does that mean?

A

employer must design 4 medical providers employee chooses one and can change in the first 90 days
colorado is a designated state

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9
Q

required by employers to cary
covers employees injured in the workplace

A

workers’ compensation

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10
Q

with workers compensation insurance must the provider assume responsibility for return to work status
and must accommodate injured worker while under care

A

yes

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11
Q

What is the workers compensation patient pathway? 6

A
  1. worker injured while performing job duties
  2. reports injury to supervisor
  3. worker referred to a healthcare provider
  4. occupational medicine physician/nurse or ER refers for treatment
  5. possibility of additional medical evaluation or subacute physical therapy
  6. discharge or case closure
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12
Q

treatment for a work- related condition is covered when: 3 things

A
  1. work exposure causes a new condition
  2. work experience causes the activation of a previously asymptomatic or latent medical condition
  3. work exposure combines with accelerates or aggravates a preexisiting condition
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13
Q

Is it medically probable that the patient would need the treatment if the work exposure had not taken place. If yes then what.

A

not work related

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14
Q

What form must be completed during a WC case

A

WC 196- form to report a PT/OT subjective and objective findings to the referring physician
must include one of the approved outcome measures
sent to the wc physician before or at the patients follow up appointment

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15
Q

An acute therapy intervention session will include what interventions

A

early exercise
manual techniques
modalities
education
-postural education
-integrate exercises into work
-body mechanics

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16
Q

0-33% of the time
1-100 repetitions

A

occasional

17
Q

34-66% of the time
100-500 reps

A

frequent

18
Q

67-100% of the time
500+ reps

A

constant

19
Q

True or false
the longer it takes a person to return to work the less likely he/she ever will

A

true

20
Q

What are the two outcomes for patients in WC

A
  1. recover and returns to work full duty with no restrictions
  2. signs and symptoms plateau
    -intensive subacute intermediate care
21
Q

Restores physical capacity and functions

-intensive work related goal oriented program designed to restore muscle strength ROM CV endurance

A

work conditioning

22
Q

comprehensive multidisciplinary program performed in real work environments
goal oriented designed to return the patient/client to work

A

work hardening

23
Q

When the underlying condition causing disability has become stable and nothing further in the way of treatment will improve the condition

A

maximum medical improvement

24
Q

What does the Americans with disabilities act state?

A

requires employers to provide positions for those with temporary impairment/disability
unless there is undue burden that cannot be reasonably accommodated

25
Q

explain what is involved in a wellness/fitness program

A

nutrition exercise
smoking cessations

26
Q

What can PTs help with for work station ergonomics

A

determine risk factors/hazards
identify needed changes- work station equipment and education

27
Q

What is involved in a job site analyses

A

shadowing observing capturing quantitative data about the essential functions of a job

28
Q

basic duties that an employee must be able to perform and performed by all workers who hold the job

A

essential function

29
Q

objective assessment to evaluate a candidates ability to perform the essential functions of a job

A

pre-employment screen

30
Q

what are the benefits of an older worker

A

file fewer WC claims
more experienced
low turnover
have fewer absences, punctual

31
Q

What is the leading cause of non-fatal work related injuries with the highest average # of days away from work

A

falls slips and trips

32
Q

What are the challenges of having an older worker?

A

indemnity costs are higher
medical severity increases with age
cases take longer to close
more complex treatment with each session

33
Q

Workers with a higher BMI have a higher rate of WC claims true/false

A

true

34
Q

a comprehensive performance based medical assessment of an individual’s physical and or cognitive abilities to safely participate in work and other major life activities

A

functional capacity evaluation

35
Q

What 3 applications utilize functional capacity evaluations?

A
  1. job specific
  2. medical legal
  3. disability
36
Q

why might you defer and complete a submaximal effort?

A

fear of pain
desire to have the evaluator appreciate the persons level of perceived dysfunction
habitual display of reduced abilities related to ones chronic pain cycle

MSK III & IV (10 decks)

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