Symptom magnification Flashcards
what does the usefulness of FCE depend on?
Physical Effort
Symptom Magnification
Incentives to return or not to return to work
what are examples of incentives to return or not return to work?
Want to get back to work/get better To receive monetary gain Want to punish their employer Don’t think they can return to normal job Wanting attention
what does the multifaceted FCE test combine?
Isometric
Behavioral
Cardiovascular
what is the key element in FCE?
physical effort
how do you determine maximum effort?
Grip Strength
Plot out trials on a bell curve
what are reasons for not giving max effort?
fear they are going to re-injure themselves
fear of losing workers comp
fear of pain
what is symptom magnification?
Conscious or sub-conscious tendency of an individual to under-rate his/her abilities and/or over-state limitations
how is symptom magnification measured?
via assessment of observed functional performance, NOT client’s subjective reports of limitations caused by his/her symptoms
what is malingering?
act of intentionally feigning or exaggerating physical or psychological symptoms for personal gain
can OT diagnose malingering?
no
what is the purpose of vocational rehab?
help people with disabilities and who are eligible for vocational rehabilitation (VR), find and keep suitable employment.
Gain independence through education, training & employment
what are precautions of vocational rehab?
Operated by STATE programs, NOT an entitlement program
Only individuals considered eligible can receive VR services
what are the eligibility requirements of vocational rehab?
Physical or mental impairment that is a substantial impediment to employment
outcome consistent with the individual’s strengths, resources, priorities
Requires services to prepare, secure, retain, regain employment
what are the presumptions of vocational rehab?
All people with disabilities can benefit from vocational rehabilitation services
All people with disabilities should have opportunity
Strives for individual and employer satisfaction
what does a vocational assessment do?
Identify skills
Develop job goals
Identify services needed
what does a physical or psych exam do?
Counseling and referral
Short term medical intervention (if not covered by individual’s insurance)
what are examples of vocational services?
Vocational counseling
Assistance with transition from school to the world of work
Books, tools and equip for training or employment
Assistive technology
Telecommunication aids
Adaptive equipment
job follow up
what are job training programs?
Job seeking skills training On-the job programs Job coach University and college programs Trade/business school Personal adjustment programs Work adjustment programs
how does VR services assist with cost modifications?
Worksite modification
Van/vehicle modification
Home modification
what do independent living facilities provide?
Peer counseling
Advice on benefits
Housing assistance
Training in independent living skills
what are 38 independent living centers?
arrangement that maximizes independence and self-determination, especially of disabled persons living in a community instead of a medical facility
where does VR place clients?
Completive work force
Self-owned business
Sheltered workshops
Supported employment
what are VR cost to client?
NO COST for intake process
Once eligibility is determined, may be fee for services (Based on income and/or family resources)
what may intake process need?
Medical exam
Vocational testing
Other assessment
what are the clients rights for VR process?
eligibility done in timely way for all Client participates in decision Confidentiality Be informed of ACCES decisions Timely review if dissatisfied
what are the clients responsibilities for VR?
Work with counselor & provide documentation
Fully participate with IPE (Individualized Plan of Employment)
apply for funding that will help pay for VR
Maintain performance & attendance
Accept job that meets your needs
Work with counselor
what are the services for the legally blind?
Training for Employment
Business Enterprise Program
Programs for Older Adults
Programs for Children
what is supported employment?
facilitates competitive work in integrated work settings for individuals with the most severe disabilities
what are characteristics of supported employment?
Paid work following Fair Labor Standards Act
Full or part time
Integrated work setting- most co-workers not disabled; opportunity for interaction and contact
Ongoing support services- not time limited
what are examples of supported employment?
Individual job placement
Enclave
Mobile Work Crew
Sheltered Workshop
