funcal capacity eval

funcal capacity assessment/eval

detailed exam/eval that objectively measures pt’s current lvl of func, primarily w/in context of demands of completive employment

industrial/occupational medicine

branch of medicine concerned w/ hlth maintenance and prevention/treat of disease and accidental injuries in workplace

work hardening

work specific treatment; modify the worker

5

for legal implications, make sure documentation is subpoena for up to ___ yrs

rehab contultant

interpreter from the medical community to the work place for insurance company

FCA

considers what is safe lvl of performance; looks at whole body

safe functional max

don’t stop test if pain if pt maintains proper body mechanics; may be safe and still have discomfort

self limited

test label if pt stop due to pain

unsafe compensation

only stop test if

HR, angina, skin color, sweat, m shake, SOB, substitution

physiological reasons to stop test

return to work, work hardening, disability, job mods

outcomes of FCA

5 RM

uses ___ for endurance and to reveal compensations w/ fatigue

malingering

psychological dx used to describe motivation

sx magnification

describes objective inconsistency in test; describes objective behavior

refugee

tends to be female w/ no future orientation; no career, just job hop

refugee

if sxs are maintained, they get out of unresolved conflict

refugee

pt feels they are indispensable, “cat’s meow”

refugee

can you do this? pt responds, “yes, but…”

game player

tend to be male, opportunistic; see sx as way out of slums

game player

extravagant goal setting (beyond possible)

game player

impulsive (don’t care about reinjury); tend to be irresponsible (but pretends to be responsible)

perpetual/ided pt

no real goal, rather survival (doesn’t enjoy life)

perpetual/ided pt

tends to fall in middle of tests for unknown reason

perpetual/ided pt

likes pt role; presents w/ assistive device