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Biomedical subjects

D E Shrey

Publications and source records attributed to D E Shrey.

6 recordsLinked to original sources
PubMed1996

Disability management in industry: the new paradigm in injured worker rehabilitation.

Trends in injured worker rehabilitation suggest a major paradigm shift from community-based services to worksite-based disability management. Employers are assuming greater control, responsibility and accountability for reducing workers' compensation costs. This article discusses the cost savings associated with effective work injury management. The essential components of an optimal disability management system are reviewed, including early intervention and critical steps in the disability management process. Strategies that impact positively on labour relations are suggested.

Case Management↗
PubMed1996

Cardiac rehabilitation: potential for ergonomic interventions with special reference to return to work and the Americans with Disabilities Act.

This paper briefly reviews the contemporary cardiac rehabilitation process and highlights its limitations. It argues that, in order to improve return-to-work chances, cardiac rehabilitation should focus on simulating actual work conditions. The role of ergonomics in the cardiac rehabilitation process is also outlined. Finally, the current impediments to early return to work are identified and corrective actions are suggested.

Deinstitutionalization↗
PubMedDate not supplied

Accelerating the return to work (RTW) chances of coronary heart disease (CHD) patients: part 1--development and validation of a training programme.

PURPOSE: Conventional phase II cardiac rehabilitation (CR) programmes have not resulted in an improvement in returning coronary heart disease (CHD) patients to work in over 35 years. This 4 year field-initiated research, sponsored by the National Institute on Disability and Rehabilitation Research, compares conventional CR programmes with a low-intensity CR programme that simulates elements of work (job-simulated CR programme) in terms of return to work (RTW) and physiological conditioning. The effect of training on physical capabilities of patients participating in the job-simulated CR programme was also of equal interest. METHOD: Thirty patients (15 bypass and 15 angioplasty; 15 males and 15 females) participated in a conventional CR programme (control group). The job-simulated CR programme included 15 male and 2 female bypass and angioplasty patients (experimental group). Patients in the control group underwent regular aerobic exercise training (treadmill and bicycle). Experimental group patients participated in a series of low-intensity exercises such as progressive time exercises, flexibility exercises, and dexterity exercises. RESULTS: All patients participating in the low-intensity job-simulated CR programme returned to the same job they held at the onset of myocardial infarction (MI). In contrast, only 60% of the control group patients returned to work; at least one-third of these did not go back to the same job they held at the onset of M1. Patients in both groups achieved the same level of physiological conditioning. The physical functional capabilities of the experimental group patients improved significantly throughout training. CONCLUSION: The results of this field-study lead to the conclusion that a low-intensity phase II cardiac rehabilitation programme that simulates elements of work may be far superior to conventional endurance exercise-based cardiac rehabilitation programmes in terms of returning patients to work. Such a programme also strengthens patients, improving their physical capabilities, without compromising their physiological conditioning.

Adult↗
PubMedDate not supplied

Accelerating the return to work (RTW) chances of coronary heart disease (CHD) patients: part 2--development and validation of a vocational rehabilitation programme.

PURPOSE: This paper, part 2 of the two-part paper, reviews return-to-work outcomes among individuals with coronary heart disease, who participated in an experimental field study reported in part 1 of the two-part paper. Study results reflected specific job stressors associated with physical and mental demands among various job tasks. Trends suggest that personality characteristics commonly associated with 'type a' personalities and cardiac disease risk factors may also serve as positive forces that influence return-to-work activity. METHODS/RESULTS: Relatively high levels of job satisfaction were reported among most experimental subjects. Despite having high return-to-work expectations, these patients lacked specific strategies and resources to facilitate a concrete return to work action plan. CONCLUSION: The researchers conclude that it is essential for cardiac rehabilitation staff, when creating a return to work transition for their cardiac patients, to explore the physical and psychosocial dimensions of jobs, the receptivity of the employer, and the accommodations needed to promote a safe and timely return to work.

Adult↗
PubMedDate not supplied

Worksite disability management model for effective return-to-work planning.

The growth of disability management programs represents a paradigm shift from traditional clinic-based rehabilitation services to worksite-based interventions that dramatically reduce lost time and costs. Supportive policies and steps in the return-to-work process are illustrated, from the point of worker injury and early intervention, through work ability assessment, return-to-work planning, job-site accommodation, and successful return to work. Creative return-to-work options, including "job banks," are discussed as practical methods to facilitate the worker's gradual return to full duty status while completing the medical recovery process. Worker, worksite, and community resource factors related to return-to-work outcomes are discussed.

Disability Evaluation↗