Symptom magnification

Question 1

what does the usefulness of FCE depend on?

Answer 1

Physical Effort
Symptom Magnification
Incentives to return or not to return to work

Question 2

what are examples of incentives to return or not return to work?

Answer 2

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

Question 3

what does the multifaceted FCE test combine?

Answer 3

Isometric
Behavioral
Cardiovascular

Question 4

what is the key element in FCE?

Answer 4

physical effort

Question 5

how do you determine maximum effort?

Answer 5

Grip Strength

Plot out trials on a bell curve

Question 6

what are reasons for not giving max effort?

Answer 6

fear they are going to re-injure themselves
fear of losing workers comp
fear of pain

Question 7

what is symptom magnification?

Answer 7

Conscious or sub-conscious tendency of an individual to under-rate his/her abilities and/or over-state limitations

Question 8

how is symptom magnification measured?

Answer 8

via assessment of observed functional performance, NOT client’s subjective reports of limitations caused by his/her symptoms

Question 9

what is malingering?

Answer 9

act of intentionally feigning or exaggerating physical or psychological symptoms for personal gain

Question 10

can OT diagnose malingering?

Answer 10

no

Question 11

what is the purpose of vocational rehab?

Answer 11

help people with disabilities and who are eligible for vocational rehabilitation (VR), find and keep suitable employment.
Gain independence through education, training & employment

Question 12

what are precautions of vocational rehab?

Answer 12

Operated by STATE programs, NOT an entitlement program

Only individuals considered eligible can receive VR services

Question 13

what are the eligibility requirements of vocational rehab?

Answer 13

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

Question 14

what are the presumptions of vocational rehab?

Answer 14

All people with disabilities can benefit from vocational rehabilitation services

All people with disabilities should have opportunity

Strives for individual and employer satisfaction

Question 15

what does a vocational assessment do?

Answer 15

Identify skills
Develop job goals
Identify services needed

Question 16

what does a physical or psych exam do?

Answer 16

Counseling and referral

Short term medical intervention (if not covered by individual’s insurance)

Question 17

what are examples of vocational services?

Answer 17

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

Question 18

what are job training programs?

Answer 18

Job seeking skills training
On-the job programs
Job coach 
University and college programs
Trade/business school
Personal adjustment programs
Work adjustment programs

Question 19

how does VR services assist with cost modifications?

Answer 19

Worksite modification
Van/vehicle modification
Home modification

Question 20

what do independent living facilities provide?

Answer 20

Peer counseling
Advice on benefits
Housing assistance
Training in independent living skills

Question 21

what are 38 independent living centers?

Answer 21

arrangement that maximizes independence and self-determination, especially of disabled persons living in a community instead of a medical facility

Question 22

where does VR place clients?

Answer 22

Completive work force
Self-owned business
Sheltered workshops
Supported employment

Question 23

what are VR cost to client?

Answer 23

NO COST for intake process

Once eligibility is determined, may be fee for services (Based on income and/or family resources)

Question 24

what may intake process need?

Answer 24

Medical exam
Vocational testing
Other assessment

Question 25

what are the clients rights for VR process?

Answer 25

eligibility done in timely way for all
Client participates in decision
Confidentiality
Be informed of ACCES decisions
Timely review if dissatisfied

Question 26

what are the clients responsibilities for VR?

Answer 26

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

Question 27

what are the services for the legally blind?

Answer 27

Training for Employment
Business Enterprise Program
Programs for Older Adults
Programs for Children

Question 28

what is supported employment?

Answer 28

facilitates competitive work in integrated work settings for individuals with the most severe disabilities

Question 29

what are characteristics of supported employment?

Answer 29

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

Question 30

what are examples of supported employment?

Answer 30

Individual job placement
Enclave
Mobile Work Crew
Sheltered Workshop