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Lifespans > Study Guide: FCE > Flashcards

Study Guide: FCE Flashcards

1
Q

What is an FCE?

A
  • objective test

- measures ability to perform meaningful/functional tasks on a safe and dependable basis

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2
Q

Why would one use an FCE?

A
  • gain employment
  • provide objective measures of functional capacity
  • help PT determine psychosocial problems
  • provide goals for RTW status
  • develop a tx plan
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3
Q

Are FCEs reliable and valid?

A

not great reliability because

  • there is no gold standard
  • there are so many of them
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4
Q

What is the best predictor of RTW?

A
  • time off work
  • the longer you are out of work, the less likely you are to return

FCE not as good of a predictor

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5
Q

FCE is more of a _____ test than a predictive one

A

behavioral

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6
Q

Why are we not able to predict disability better?

A
  • disconnect between individual impairments and societal factors
  • disability is a highly complex concept
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7
Q

What is the role of FCEs in disability

A

FCEs are just part of the process of judging level of disability

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8
Q

What are the components of an FCE?

A
  • intake info and record review
  • client questionnaire/informed consent
  • client interview
  • physical exam and referral questions
  • functional performance measurements
  • observation of pt
  • eval of hx, records, and test results
  • comparison of pt’s safe work abilities with job demands
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9
Q

general guidelines for work rehab

A
  • collaborate with other professionals for best outcomes
  • pt education is critical
  • include psychosocial factors with rehab
  • rehab should be individualized
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10
Q

advantages of an FCE

A
  • provides objective measures for functional capacity
  • multiple physical aspects for RTW
  • can be tailored to mimic requirements of multiple jobs
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11
Q

limitations of an FCE

A
  • takes anywhere from 1-8 hours
  • only one aspect of disability
  • days out of work is likely a better predictor
  • cause worker’s comp claims to end
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12
Q

Contraindications to an FCE

A
  • medical instability
  • pt must be able to communicate with evaluator
  • pt must be able to understand instructions and communicate concerns with evaluator
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13
Q

pt eligibility for RTW

A
  • be medically stable
  • have stated/demonstrated willingness to participate
  • have physical/functional deficits interfering with work
  • have tx goals that include RTW
  • have completed functional eval to id limitations
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14
Q

Work conditioning addresses:

A
  • physical and functional needs
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15
Q

Work conditioning provided by:

A
  • single discipline

- PT only

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16
Q

Work conditioning utilizes

A
  • physical conditioning

- functional activities

17
Q

Work conditioning: provided in (sessions)

A

multi-hour sessions up to

  • 4 hrs/day
  • 5 days/week
  • 8 weeks
18
Q

Work hardening: addresses

A
  • physical
  • functional
  • behavioral
  • vocational
19
Q

Work hardening: provided by

A

multidisciplinary

  • PT
  • OT
  • psychologist
  • vocational specialist
20
Q

Work hardening: utilizes

A

simulated work activities

21
Q

Work hardening: provided in (sessions)

A

multi-hour sessions up to

  • 8 hrs/day
  • 5 days/week
  • 8 weeks
22
Q

What is covered in worker’s comp?

A
  • any injury during working hours that doesn’t involve misconduct or drugs/alcohol
  • all medical, rehab, medication, and travel/incurred expenses
23
Q

What does worker’s comp pay?

A

usu 2/3 wage will be paid until you return to work or the max benefits have been reached

24
Q

categories of disability

A
  • total disability
  • temporary partial disability
  • permanent partial disability
25
Q

total disability

A
  • inability to return to work (think SCI)

- most compensation

26
Q

temporary partial disability

A
  • only partially disabled and temporary (think broken bone)

- least compensation

27
Q

permanent partial disability

A
  • partially disabled and is permanent (think amputation)

- middle compensation

28
Q

What is an impairment?

A
  • alteration of an individual’s health status

- has been assessed by medical means

29
Q

What is a disability?

A
  • describes the relationship between impairment and

- an individual’s inability to complete a task or duty

30
Q

What aspects impact disability?

A
  • biological
  • behavioral
  • environmental

and relationship with health, wellbeing and functioning in society

31
Q

disability encompasses these factors

A
  • vocational
  • educational
  • psychosocial
  • financial
32
Q

Why is an FCE the best test?

A

because disability involves so many factors

33
Q

After being disabled, what can the individual do?

A
  • go separate ways from employer after settlement reached
  • RTW in same position or another one
  • return to workforce with a different company if qualified

Lifespans (17 decks)

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