Authors: James B., Ed. Talmage, J.Mark Melhorn
ISBN-13: 9781579476281, ISBN-10: 1579476287
Format: Hardcover
Publisher: Americam Medical Association
Date Published: March 2005
Edition: (Non-applicable)
Talmadge (American Academy of Disability Evaluating Physicians) and Melhorn, an occupational orthopedic physician, delve into the practical aspects of evidence-based medicine, causation, analysis, functional capacity evaluations, and the legal aspects of return-to- work decision making. Early chapters discuss general issues such as concepts of work ability and relevant screening tests and forms. Later chapters cover specific medical and psychiatric problems. The book is designed to be accessible to employees as well as employers, physicians, insurers, attorneys, and worker's compensation managers. Annotation ©2004 Book News, Inc., Portland, OR
Reviewer:J. Thomas Pierce, MBBS PhD(Navy Environmental Health Center)
Description:This book aids in teaching physicians and healthcare providers how to think through the issues of "risk," "capacity," and "tolerance" when negotiating return-to-work and stay-at-work issues with patients.
Purpose:It is aimed at helping primary care physicians and care providers navigate return-to-work issues. Its purpose is served by including a concise compilation of current data to improve return-to-work decision-making.
Audience:The audience for this book is split among physicians and other healthcare providers, legal counsel and research staffs, and human resources professionals.
Features:The book includes a step-by-step guide regarding return-to-work decisions. It takes on the difficult issue faced by workers' compensation managers such as "Can I work despite my (fill in the blank)?" The authors and editors believe they have provided realistic answers based upon current science. The book's highlights include a concise compilation of current data and frequent questions faced by physicians and other associated with workers' compensation. It is organized into 20 chapters, 12 chapters on return to work and functional capacity evaluation, evidence-based medicine and legal aspects of decision making, causation analysis, disability perspectives, medications and driving and Social Security. The eight other chapters are system-specific (spine, extremities, cardiopulmonary, neurologic, rheumatologic, psychiatric and chronic fatigue-associated).
Assessment:I particularly like the fact that the editors took on such as broad range of problems -- not only spine and upper extremity concerns, but also those of cardiopulmonary and rheumatologic systems. The book uses not only eminently qualified editors, but a distinguished cast of chapter authors for the 20 chapters.
Dedication iii
Preface xi
Acknowledgments xv
About the Editors xvii
Contributors xxi
Chapter 1 Why Staying at Work or Returning to Work Is in the Patient's Best Interest James B. Talmage, MD J. Mark Melhorn, MD 1
Consensus Statements 2
A Review of the Literature 3
Chapter 2 How to Think About Work Ability and Work Restrictions: Risk, Capacity, and Tolerance James B. Talmage, MD J. Mark Melhorn, MD 7
Risk 7
Capacity 9
Tolerance 10
How to Evaluate Work Ability: A Seven-Step Process 14
Summary 15
Chapter 3 How to Negotiate Return to Work J. Mark Melhorn, MD 19
The Return-to-Work Decision Makers 19
Defining Negotiation and Agreement 21
The Five Steps From Injury to Resolution 21
The Time Off Work and Return-to-Work Issue: Lost Work Days 25
Return-to-Work Guides 26
Negotiation Strategies for Return to Work 29
Useful Responses to Three Common Attacks 32
Summary 33
Chapter 4 Return to Work: Forms, Records, and Disclaimers J. Mark Melhorn, MD 39
Communication: The Issues That Should Be Documented in Physician Records 41
Four Screening Tests for Establishing Functional Capacity Guides 44
Establishing Reasonable Functional Capacity Guides or Work Guides 45
Sample Linkage Forms 48
Additional Forms 53
Writing Functional Capacity and Return-to-Work Guides 53
Summary 56
Chapter 5 Evidence-based Medicine Elizabeth Genovese, MD, MBA 59
Study Types 60
Potential Flaws in Study Types 64
Statistical Analysis 65
Analyzing and Applying Study Results 68
Summary 69
Chapter 6 Causation Analysis Elizabeth Genovese, MD, MBA 73
Hill Criteria for Causation Analysis 73
Addressing Causation 76
Apportionment76
Causality Determination 78
Summary 80
Chapter 7 Functional Capacity Evaluation: Is It Helpful? David C. Randolph, MD, MPH Trang H. Nguyen, MD Phillip Osborne, MD 83
The Purpose of the Functional Capacity Evaluation 84
The Elements of a Functional Capacity Evaluation 85
Validity and Reliability of the Functional Capacity Evaluation 89
Using a Functional Capacity Evaluation to Make Return-to-Work Recommendations 90
Summary 91
Chapter 8 The Medical and Legal Aspects of Return-to-Work Decision Making Paul F. Waldner, JD Lezzlie E. Hornsby, JD 95
Promoting the Return to Work: The Physician's Responsibility 97
Knowing the Job Requirements and Knowing the Law 98
Some Statutes That Apply to Return-to-Work Determinations 99
Physician Liability in Making Return-to-Work Decisions 107
Summary 111
Chapter 9 Can This Patient Work? A Disability Perspective John L. LoCascio, MD 113
The Disability Decision Maker 115
Defining Disability 115
The Core Idea 115
The Decision Maker in Context 116
The Physician's Role 118
Basic Concepts and Terminology 118
Patient Interview: Defining Pertinent Functional Capacities 121
Estimating Functional Capacity 122
Supporting Symptoms in Excess of Findings 123
Objective and Subjective: Different Issues, Different Tests 124
Dimensions of Consistency 124
Disability Applications and Supporting Medical Data 125
Psychiatric Claims for Disability 125
Examples of Attending Physician Statements 126
Physical Demand Levels from the Dictionary of Occupational Titles 129
Summary 131
Chapter 10 Medications, Driving, and Work Gerald M. Aronoff, MD Michael Erdil, MD Natalie P. Hartenbaum, MD, MPH 133
Magnitude of the Issue 134
Potential Risks 134
Decision Making 137
Specific Medications 139
Summary 144
Chapter 11 How the Primary Care Physician Can Help Patients Negotiate the Return-to-Work/Disability Dilemma Mark D. Pilley, MD 149
Understanding the Role of the Primary Care Physician 149
Avoiding the Impact of Delay 151
Improving Chances for Successful Return to Work: Sample Cases 151
Summary 160
Chapter 12 Working With Common Spine Problems James B. Talmage, MD Robert H. Haralson III, MD, MBA 163
Presumed Disability 163
Lumbar Disk Herniation Resulting in Radiculopathy 165
Mechanical Non-specific Low Back Pain 170
Summary 177
Chapter 13 Working With Common Upper Extremity Problems J. Mark Melhorn, MD 181
Presumed Disability 182
Shoulder: Rotator Cuff Impingement Syndrome 182
Shoulder: Rotator Cuff Tear 187
Elbow: Lateral or Medial Epicondylitis 192
Elbow: Ulnar Nerve Entrapment 195
Wrist: Carpal Tunnel Syndrome 197
Wrist: De Quervain's Tenosynovitis 203
Finger or Thumb: Trigger 205
Nontraumatic Soft-Tissue Disorder 207
Summary 210
Chapter 14 Working With Common Lower Extremity Problems Robert H. Haralson III, MD, MBA 215
Presumed Disability 215
Sprains and Strains 219
Fractures 221
Dislocations 223
Total Joint Arthroplasty 225
Arthroscopic Knee Surgery 228
Summary 229
Chapter 15 Working With Common Cardiopulmonary Problems Mark H. Hyman, MD 233
General Considerations in Cardiopulmonary Assessment 233
Risk in Cardiopulmonary Disease 240
Coronary Artery Disease 240
Hypertension and Hypertensive Heart Disease 254
Reactive Airway Disease/Chronic Obstructive Pulmonary Disease 257
Summary 260
Chapter 16 Working With Common Neurologic Problems Edwin H. Klimek, MD 267
Physician-Certified Absenteeism for Neurologic Illness 267
Neurologic Illness: General 269
Headache 269
Epilepsy 274
Brain Injury 276
Multiple Sclerosis 278
Polyneuropathy 281
Summary 283
Chapter 17 Working With Common Rheumatologic Disorders Yvonne Smallwood Sherrer, MD 289
Nonobjective Factors in Assessing Work Disability 290
Rheumatoid Arthritis 292
Systemic Lupus Erythematosus 295
Osteoarthritis 297
Risk 299
Capacity 300
Tolerance 300
Summary 301
Chapter 18 Working With Common Psychiatric Problems John D. Pro, MD 305
The Problem of Mental Illness in the Workplace 305
Evaluating Mental Impairment 306
Social Security Administration's Criteria for Total Disability 309
Major Depression 311
Pain Syndrome With Medical and Psychological Factors 312
Posttraumatic Stress Disorder 314
Adjustment Disorder 315
Excusing the Patient From Work 317
Initiating Treatment Planning 317
Returning the Patient to Work 318
Summary 319
Chapter 19 Working With Common Functional Syndromes: Fibromyalgia and Chronic Fatigue Syndrome James B. Talmage, MD 321
Social Security Administration's Criteria for Total Disability 322
Risk 322
Capacity 323
Tolerance 323
Summary 324
Chapter 20 The Social Security Administration Disability System Edward B. Holmes, MD, MPH 327
Clarifying Misunderstanding of the Social Security Administration Disability System 327
The Differences Between Impairment and Disability 329
Overview of the Social Security Administration Disability System 330
What the Physician Needs to Know 331
Writing a Medical Source Opinion About Function 334
Weighing of Source Opinions About Function by the Social Security Administration 335
Summary 336
Index 337