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Helps primary care physicians and care providers navigate return-to-work issues. This book provides practical aspects of evidence-based medicine, causation analysis, functional capacity evaluations and the legal aspects of return-to-work decision making. It discusses the implications of medication, work aspects, and driving.

Tabla de contenidos provista por Syndetics

• Dedication(p. iii)
• Preface(p. xi)
• Acknowledgments(p. xv)
• About the Editors(p. xvii)
• Contributors(p. xxi)
• Chapter 1 Why Staying at Work or Returning to Work Is in the Patient's Best Interest(p. 1)
• Consensus Statements(p. 2)
• A Review of the Literature(p. 3)
• Chapter 2 How to Think About Work Ability and Work Restrictions: Risk, Capacity, and Tolerance(p. 7)
• Risk(p. 7)
• Capacity(p. 9)
• Tolerance(p. 10)
• How to Evaluate Work Ability: A Seven-Step Process(p. 14)
• Summary(p. 15)
• Chapter 3 How to Negotiate Return to Work(p. 19)
• The Return-to-Work Decision Makers(p. 19)
• Defining Negotiation and Agreement(p. 21)
• The Five Steps From Injury to Resolution(p. 21)
• The Time Off Work and Return-to-Work Issue: Lost Work Days(p. 25)
• Return-to-Work Guides(p. 26)
• Negotiation Strategies for Return to Work(p. 29)
• Useful Responses to Three Common Attacks(p. 32)
• Summary(p. 33)
• Chapter 4 Return to Work: Forms, Records, and Disclaimers(p. 39)
• Communication: The Issues That Should Be Documented in Physician Records(p. 41)
• Four Screening Tests for Establishing Functional Capacity Guides(p. 44)
• Establishing Reasonable Functional Capacity Guides or Work Guides(p. 45)
• Sample Linkage Forms(p. 48)
• Additional Forms(p. 53)
• Writing Functional Capacity and Return-to-Work Guides(p. 53)
• Summary(p. 56)
• Chapter 5 Evidence-based Medicine(p. 59)
• Study Types(p. 60)
• Potential Flaws in Study Types(p. 64)
• Statistical Analysis(p. 65)
• Analyzing and Applying Study Results(p. 68)
• Summary(p. 69)
• Chapter 6 Causation Analysis(p. 73)
• Hill Criteria for Causation Analysis(p. 73)
• Addressing Causation(p. 76)
• Apportionment(p. 76)
• Causality Determination(p. 78)
• Summary(p. 80)
• Chapter 7 Functional Capacity Evaluation: Is It Helpful?(p. 83)
• The Purpose of the Functional Capacity Evaluation(p. 84)
• The Elements of a Functional Capacity Evaluation(p. 85)
• Validity and Reliability of the Functional Capacity Evaluation(p. 89)
• Using a Functional Capacity Evaluation to Make Return-to-Work Recommendations(p. 90)
• Summary(p. 91)
• Chapter 8 The Medical and Legal Aspects of Return-to-Work Decision Making(p. 95)
• Promoting the Return to Work: The Physician's Responsibility(p. 97)
• Knowing the Job Requirements and Knowing the Law(p. 98)
• Some Statutes That Apply to Return-to-Work Determinations(p. 99)
• Physician Liability in Making Return-to-Work Decisions(p. 107)
• Summary(p. 111)
• Chapter 9 Can This Patient Work? A Disability Perspective(p. 113)
• The Disability Decision Maker(p. 115)
• Defining Disability(p. 115)
• The Core Idea(p. 115)
• The Decision Maker in Context(p. 116)
• The Physician's Role(p. 118)
• Basic Concepts and Terminology(p. 118)
• Patient Interview: Defining Pertinent Functional Capacities(p. 121)
• Estimating Functional Capacity(p. 122)
• Supporting Symptoms in Excess of Findings(p. 123)
• Objective and Subjective: Different Issues, Different Tests(p. 124)
• Dimensions of Consistency(p. 124)
• Disability Applications and Supporting Medical Data(p. 125)
• Psychiatric Claims for Disability(p. 125)
• Examples of Attending Physician Statements(p. 126)
• Physical Demand Levels from the Dictionary of Occupational Titles(p. 129)
• Summary(p. 131)
• Chapter 10 Medications, Driving, and Work(p. 133)
• Magnitude of the Issue(p. 134)
• Potential Risks(p. 134)
• Decision Making(p. 137)
• Specific Medications(p. 139)
• Summary(p. 144)
• Chapter 11 How the Primary Care Physician Can Help Patients Negotiate the Return-to-Work/Disability Dilemma(p. 149)
• Understanding the Role of the Primary Care Physician(p. 149)
• Avoiding the Impact of Delay(p. 151)
• Improving Chances for Successful Return to Work: Sample Cases(p. 151)
• Summary(p. 160)
• Chapter 12 Working With Common Spine Problems(p. 163)
• Presumed Disability(p. 163)
• Lumbar Disk Herniation Resulting in Radiculopathy(p. 165)
• Mechanical Non-specific Low Back Pain(p. 170)
• Summary(p. 177)
• Chapter 13 Working With Common Upper Extremity Problems(p. 181)
• Presumed Disability(p. 182)
• Shoulder: Rotator Cuff Impingement Syndrome(p. 182)
• Shoulder: Rotator Cuff Tear(p. 187)
• Elbow: Lateral or Medial Epicondylitis(p. 192)
• Elbow: Ulnar Nerve Entrapment(p. 195)
• Wrist: Carpal Tunnel Syndrome(p. 197)
• Wrist: De Quervain's Tenosynovitis(p. 203)
• Finger or Thumb: Trigger(p. 205)
• Nontraumatic Soft-Tissue Disorder(p. 207)
• Summary(p. 210)
• Chapter 14 Working With Common Lower Extremity Problems(p. 215)
• Presumed Disability(p. 215)
• Sprains and Strains(p. 219)
• Fractures(p. 221)
• Dislocations(p. 223)
• Total Joint Arthroplasty(p. 225)
• Arthroscopic Knee Surgery(p. 228)
• Summary(p. 229)
• Chapter 15 Working With Common Cardiopulmonary Problems(p. 233)
• General Considerations in Cardiopulmonary Assessment(p. 233)
• Risk in Cardiopulmonary Disease(p. 240)
• Coronary Artery Disease(p. 240)
• Hypertension and Hypertensive Heart Disease(p. 254)
• Reactive Airway Disease/Chronic Obstructive Pulmonary Disease(p. 257)
• Summary(p. 260)
• Chapter 16 Working With Common Neurologic Problems(p. 267)
• Physician-Certified Absenteeism for Neurologic Illness(p. 267)
• Neurologic Illness: General(p. 269)
• Headache(p. 269)
• Epilepsy(p. 274)
• Brain Injury(p. 276)
• Multiple Sclerosis(p. 278)
• Polyneuropathy(p. 281)
• Summary(p. 283)
• Chapter 17 Working With Common Rheumatologic Disorders(p. 289)
• Nonobjective Factors in Assessing Work Disability(p. 290)
• Rheumatoid Arthritis(p. 292)
• Systemic Lupus Erythematosus(p. 295)
• Osteoarthritis(p. 297)
• Risk(p. 299)
• Capacity(p. 300)
• Tolerance(p. 300)
• Summary(p. 301)
• Chapter 18 Working With Common Psychiatric Problems(p. 305)
• The Problem of Mental Illness in the Workplace(p. 305)
• Evaluating Mental Impairment(p. 306)
• Social Security Administration's Criteria for Total Disability(p. 309)
• Major Depression(p. 311)
• Pain Syndrome With Medical and Psychological Factors(p. 312)
• Posttraumatic Stress Disorder(p. 314)
• Adjustment Disorder(p. 315)
• Excusing the Patient From Work(p. 317)
• Initiating Treatment Planning(p. 317)
• Returning the Patient to Work(p. 318)
• Summary(p. 319)
• Chapter 19 Working With Common Functional Syndromes: Fibromyalgia and Chronic Fatigue Syndrome(p. 321)
• Social Security Administration's Criteria for Total Disability(p. 322)
• Risk(p. 322)
• Capacity(p. 323)
• Tolerance(p. 323)
• Summary(p. 324)
• Chapter 20 The Social Security Administration Disability System(p. 327)
• Clarifying Misunderstanding of the Social Security Administration Disability System(p. 327)
• The Differences Between Impairment and Disability(p. 329)
• Overview of the Social Security Administration Disability System(p. 330)
• What the Physician Needs to Know(p. 331)
• Writing a Medical Source Opinion About Function(p. 334)
• Weighing of Source Opinions About Function by the Social Security Administration(p. 335)
• Summary(p. 336)
• Index(p. 337)