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Return to Work Programing Flashcards

1
Q

Occupational Safety and Health Administration (OSHA)

A

Part of department of labor to ensure safe and healthy working conditions by training/enforcing standards

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2
Q

National Institute for Occupational Safety and Health (NIOSH)

A

Part of Centers for Disease Control and Prevention that conducts research and makes recommendations for the prevention of work-related injury and illness

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3
Q

Occupational Information Network (O*NET)

A

Database of job requirements, worker attributes, and other information about occupations for determining job demands developed by U.S. Department of Labor, Employment and Training Administration

Old version = DOT (Dictionary of Occupational Titles

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4
Q

Equal Employment Opportunity Commission (EEOC)

A

Provide guidelines to ensure fair employment selection for new workers and people returning to work post illness, injury, disability

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5
Q

Work related musculoskeletal disorders (WMSD)

A

Soft tissue injuries affecting muscles, tendons, nerves that often have slow and insidious onset and commonly due to micro-traumas

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6
Q

Examples of WMSD

A

Back injuries
Carpal tunnel
DeQuervains tenosynovitis
Lateral epicondylitis

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7
Q

What is not considered a WMSD

A

Any injury due to a fall

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8
Q

Factors that increase risk for WMSD

A

Heavier materials
Poor workspace design
Poor work process

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9
Q

Ergonomics to prevent neck/back pain

A
  1. Keep spine in alignment
  2. Hold objects close to the center of gravity
  3. Avoid twisting through the spine by facing object straight on
  4. Use both sides of the body equally
  5. Maintain a wide base of support
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10
Q

Cognitive-behavioral strategies that can be used for work injury

A

Positive reinforcement
Progressive relaxation
Biofeedback

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11
Q

Refugee symptom magnification

A

Uses symptoms to escape unresolvable conflict

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12
Q

Symptom misinterpreter magnification

A

Responds to physical changes in extreme manner due to difficulties with processing sensory and kinesthetic input

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13
Q

Game player magnification

A

Attempt to convince other workers of reality of symptoms for positive gain

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14
Q

Identified patient magnification

A

Patient assumes patient role as lifestyle

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15
Q

Difference between magnification and malingering

A

Malingering is always conscious and deliberate to avoid work
Magnification can be conscious or unconscious

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16
Q

Symptom minimizer

A

Keeps symptoms hidden so they can return to normal activity or avoid appearing weak

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17
Q

Common test to determine maximum effort

A

Five-level grip test

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18
Q

Four characteristics of successful work injury program

A
  1. Ongoing management support
  2. Supervisory support
  3. Employee participation
  4. Ongoing support and reinforcement of the program
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19
Q

Primary prevention goal

A

Identify and reduce risk factors early before injuries occur to promote healthy work habits

20
Q

Secondary prevention goal

A

Early identification of symptom and risk factors to minimize duration, severity, and cost of injury

21
Q

Tertiary prevention goal

A

After an injury is diagnosed, interventions focus on medically treating the jury and restoring the work role

22
Q

Sedentary work

A

Mostly sitting with brief standing or walking
Exerting 10 lb. force occasionally
Negligible force to lift, carry, push, pull

23
Q

Light work

A

Exerting 20 lb. work occasionally and 10 lb. frequently
Significant walking or standing
Sitting but with pushing and pulling of arm/leg controls
Production pace requiring constant activity even with negligible weight

24
Q

Medium work

A

Exerting 20-50 lb. occasionally
Exerting 10-25 lb. frequently
Exerting 10 lb. constantly

25
Heavy work
Exerting 50–100 lb. occasionally Exerting 25–50 lb. frequently 10–20 lb. constantly
26
Very heavy work
Exerting 100 lb. occasionally Exerting 50. lb. frequently Exerting 20 lb. constantly
27
Occasionally
Occurs as much as one-third of the day
28
Frequently
Occurs one-third to two-thirds of the day
29
Constantly
Ooccurs two-thirds of the day to a full day
30
Ergonomics
Fitting workplace to the human bod
31
Common ergonomic risk factors
Repetitive movement Forceful/prolonged exertion Frequent/heavy lifting Static postures for prolonged period Excessive vibration Extreme temps Poor body mechanics for lifting Not taking breaks Holding hand over keyboard during pauce
32
Engineering controls intervention
Modification of workstation and environment
33
Work practice controls intervention
Modification of work habits, body mechanics training, tool maintenance, conditioning or stretching exercise, incorporation of work habits and exercises into work routine, change in work processes
34
Administrative controls interention
Change in staffing, physical demands of job, production rates, limiting overtime, allowing for rest breaks, worker education on work safety and risk, job rotation at different workstations and different task demands
35
Empowering corporate clients interention
Understand work culture, establish new incentive system, nurture team work
36
Work hardening program
- Outcomes-focused - Individualized - Interdisciplinary program - Addresses medical, physical, psychological, behavioral, functional, and vocational components of employability and return to work - Relies on actual task replication - May include practice of body mechanics, use of job modifications, conditioning exercises - Key is gradation of activities to progressively increase task demands - Monitor performance for overexertion and fatigue
37
Hierarchy of fxl return
Gradation from.. GM to FM Less resistive to more resistive Skill to speed Simple to complex
38
Light/modified-duty programming
Employee temporarily perform job duties with less physical demand and duties are gradually added as they improve
39
Functional capacity evaluation (FCE)
Objective assessment of a patient ability to perform work-related tasks that includes a review of medical records, an interview, a musculoskeletal screening, an evaluation of physical performance, recommendations, generate report (completed by clinician with several years experience)
40
Fit for duty test
Determine if worker can return to work after injury (completed by physician)
41
Impatiemment vs. disability rating
Impairment rating = percentage of whole-body function. Disability rating = worker’s impairment + impact of impairment on ability to perform job
42
Examples of ADA reasonable accomodations
- physical changes to environment - job restructuring - job reassignment - modified equipment - change in policy/procedure - training manuals
43
Vocational evaluations
Provides information about a person’s capacities and interests for work in situations they have not worked before
44
Types of vocational evaluations
1. General vocational evaluation: comprehensive assessment of potential to do any type of work 2. Specific vocational evaluation: readiness to return to specific occupation
45
Transitional program
Offered during transition period when client can complete some but not all job tasks before complete return to work. OT provides coaching, education, instruction, and monitors company’s return-to-work programs.
46
Job coaching
Evaluation, intervention, and reevaluation using non-standardized interviews, observation of task performance and simulation that all occurs in workplace while patient complete typical duties
47
What is typically included in return to work documentation
Daily schedule sheets to provide client with a list of activities and promote responsibility for their own rehabilitation program

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