Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MSK 3 final > Practice in Occupational Health > Flashcards

Practice in Occupational Health Flashcards

1
Q

50% of all persons with a disability were age ___

A

65 and over

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Across all age groups, persons with ____ were much less likely to be employed than those with ___

A

a disability

no disability.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

___ percent of workers with a disability were employed part time, vs ___ for those with no disability.

A

30%

16%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Employed persons with a disability were more likely to be ___ than those with no disability.

A

self-employed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

COST of WORK-RELATED RMDs

A

65% - income and HRQOL loss

33% - productivity loss and turnover

2% - GDP impact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Engaging with the ___ is key

A

employer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

psychosocial risks (yellow flags):

A

high pain severity (low pain acceptance)

catastrophizing

high perceived functional disability

high fear-avoidance beliefs or kinesiophobia

low recovery expectations

low self-efficacy (low perceived control over situations)

observed pain behaviors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

workplace risks (blue/black flags)

A

poor job satisfaction

poor relationship with supervisors or coworkers

job stress

nonavailability of RTW programs or ergonomic changes

high job demands

workplace culture and policies that discourage RTW

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Self-reported outcomes

A

SF-36 (generic)
WORQ (function-specific)
FABQ (condition-specific)
DASH
ODI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

PERFORMANCE-
BASED TESTS

trunk

A

15 min stand

floor-to-waist lift

1-min crouch

2-min sustained trunk flexion

5-min repetitive trunk rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

PERFORMANCE-
BASED TESTS

UE

A

waist-to-overhead lift

sustained elevated work

crawling

hand grip strength

hand coordination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

PERFORMANCE-
BASED TESTS

A

15-min stand

floor-to-waist lift

1-min crouch

2-min kneel

stepladder or stairs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

GLOBAL RESIDUAL FUNCTIONAL CAPACITY (GRFC)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Patient-reported outcomes:

A

FABQ
RMDQ
ODI
WORQ
DASH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Performance-based outcomes:

A

6 minutes walk
9-hole peg test
MMT
ROM
30 STS
Handgrip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Time: A friend or a foe?

A

Work disability evolves over time

Predictors evolves over time

Expected recovery evolves over time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is occupational health?

A

promotion and maintenance of the highest degree of physical, mental and social well-being of workers in all occupations

by preventing departures from health, controlling risks and the adaptation of work to people, and people to their jobs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Principles of Occupational Health

A

Management of lost time and minimization of disability

Facilitation of timely and appropriate referrals

Minimization of injury/reinjury incident rate

Determination of safe work activity

The design of safe, progressive rehabilitation programs that aggressively recondition the injured worker.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Principles of PT in OH:

A

Management of lost time and minimization of disability

Facilitation of timely and appropriate referrals

Minimization of injury/re-injury incident rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Work rehabilitation =

A

multi-professional evidence-based
approach that is provided in different settings, services, and activities to working age individuals with health-related impairments, limitations, or restrictions with work functioning, and whose primary aim is to optimize work participation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Services may be delivered in:

A

Hospitals, homes, outpatient clinics or offices, rehabilitation facilities, subacute care facilities, corporate or industrial health centers, industrial, workplace or other occupational environments, fitness centers, and education or research centers.

Physical therapists may also participate in prevention and the promotion of health, wellness, and fitness, consultation, and education.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

___ with other health care professionals, employees, employers, insurers, governmental regulatory and administrative agencies

A

Coordinate service

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Facilitate optimum work environment:

A

analyze work tasks, tools and work station / workplace design

24
Q

Advise employers on the

A

Americans with Disabilities Act (ADA) and OSHA and worker’s compensation

25
Q

Work-worker match!

A

includes the physical, cognitive, and emotional requirements of the job

26
Q

Work conditioning

A

objective of the work conditioning program is to restore physical capacity and function to enable the patient/client to return to work

addresses physical and functional needs

may be provided by one discipline

utilizes physical conditioning and functional activities related to work

27
Q

Work hardening

A

Work Hardening addresses the issues of productivity, safety, physical tolerances, and worker behaviors

addresses physical, functional, behavioral, vocational needs within a multidisciplinary model

utilizes real or stimulated work activities

28
Q

Work rehabilitation

A

addresses physical, functional, behavioral, vocational needs with a multidisciplinary model that includes medical and workplace stakeholders

utilizes various therapeutic interventions with a functional emphasis, emphasizing the role of the worker/work activities

29
Q

Work conditioning:
provided in multi-hour sessions up to:

A

4 hours/day
5 days/week
8 weeks

30
Q

Work hardening:
provided in multi-hour sessions up to:

A

8 hours/day
5 days/week
8 weeks

31
Q

WORK REHABILITATION PROGRAM COMPONENTS

A

Promote patient/worker responsibility and self-management

multi-disciplinary

Weekly assessment and objective documentation

32
Q

PROVIDER RESPONSIBILITIES

A

Familiarity with job expectations, work environments/ergonomic risk factors, skills and physical demands required of the patient/client

33
Q

Principle: Minimization of Injury/Reinjury Incident Rate

A

Physical therapist services are provided on-site or in close proximity to the workplace.

Note of job demands: type of job, frequency of job

34
Q

Acute Phase =

A

(Immediate Post-Trauma) -

Patient management focused on the control and reduction of inflammation, joint and soft tissue swelling, and the stabilization of the injury.

35
Q

Post-Acute Phase =

A

Involvement of the injured worker in more active/functional activities.

Graduated therapeutic exercise to increase muscle performance, improve joint integrity and mobility, and improve motor function .

Functional training to increase ability to perform physical tasks related to community and work reintegration.

36
Q

Reconditioning Phase =

A

More vigorous therapeutic exercise emphasizing daily functional and work activities and improved endurance

37
Q

Return-to-Work Phase =

A

This phase is indicated for worker’s who have progressed satisfactorily through the reconditioning phase but are not yet ready to return to work because of identifiable physical, functional, behavioral or vocational deficits

38
Q

A physical therapist is managing the care for a patient with referral for a work-related injury by his employer. The patient came today for a re-evaluation. The physical therapist should discharge the patient if the patient meets the following conditionsEXCEPTfor:

a) Patient had improved work capacity but no change in pain symptom

b) Patient has new injury resulting in medical complications

c) Patient’s insurance provider refused to authorize additional treatment

d) Patient failed to comply with requirements of participation in the program

A

a) Patient had improved work capacity but no change in pain symptom

39
Q

The four major components of an FCE include:

A

Intake interview

Medical records review

Physical examination

Content valid functional testing

40
Q

Functional Capacity =

A

PTs began to develop functional capacity tests for comparison to the physical demands of jobs and occupations

initially examined and evaluated the ability of a worker to perform physical job match conditions

41
Q

Frequency of Work Demands

A

Occasional: 0 – 33% of workday

Frequent: 34 – 66% of workday

Constant: 67 – 100% of workday

42
Q

S-Sedentary Work –

A

Exerting up to 10 pounds of force occasionally and/or a negligible force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.

43
Q

L-Light Work –

A

Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects

44
Q

M-Medium Work –

A

Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.

45
Q

H-Heavy Work –

A

Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects.

46
Q

V-Very Heavy Work –

A

Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects.

47
Q

An employee with a work-related injury was referred to physical therapy. The employee reported that he works in a factory where the primary task involves moving 40 lbs of boxes for up to a third of a typical working day. WhatBESTcharacterize this type of work?

Medium work
Light work
Heavy work
Very heavy work

A

Medium work

48
Q

3 primary areas of consideration

A

Performance or Effort level

Effect of pain and other symptoms on test performance

Residual functional capacity including functional abilities and functional limitations.

49
Q

Examiners should avoid the use of ____ tests to determine functional abilities unless a job specific static strength requirement exists.

A

static strength

50
Q

Work disability following occupational injury is generally ___

A

temporary (< 1 month)

51
Q

__ is positively correlated with time to RTW

A

Age

(older = more time to RTW).


52
Q

General trends of time to RTW based on injury type:

A

MSK sprains, strains, tendinopathies = median 8-14 days

Upper extremity, wrist, and knee injury had greater RTW time = 17-21 days

Carpal tunnel, fractures, amputations, and repetitive motion problems = 30+ days


53
Q

CLINICAL COURSE & RISK FACTORS

A

Timing of care
Therapeutic Alliance
Duration of care
Risk factors

54
Q

Job demands and functional assessment should be used to develop a ___ and ___. 


A

work-limiting diagnosis

treatment goals

55
Q

For patients with low risk of delayed RTW:

A

Implement a combination of condition-specific exercise and work task replication.


56
Q

For patients with high risk of delayed RTW

A

A behavioral approach with a combination of clinic-based, work-focused interventions and jobsite interventions.

Psychologically informed practice should include individual goal setting, motivational interviewing, activity pacing, problem solving, relaxation, and coping techniques.

MSK 3 final (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions