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599- Week 1
Productivity, JDA, FCE
| Term | Definition |
|---|---|
| aging workforce vs. changing workforce demographics | Estimated that by 2036, those 55+ years will be 25% of the workforce Need to be aware of age related changes vs. 1 in 4 workers not born in Canada. By 2036, it'll be 1 in 3 New immigrant brings challenges in culture, env, being taken advantage of |
| illness & working | ~&160mil lost to illness Indirect costs for those w/ chronic health conditions are 4x higher than those who don't have them Lost time claims to WCB last 3 years totaled 802,420 |
| primary prevention vs. secondary prevention | Intervention to prevent injury/ illness to control for workplace hazards and body awareness to prevent risk of injury Ax, education, design & implement safety vs. Adapt environment or job to aid in return to work to prevent decline or re-injury |
| tertiary prevention | Managing/ treating chronic health conditions or complex injury to prevent premature exit from workforce Encouraging greater inclusion, engagement, extending length of participation Job analysis Modify tasks, workstation, organization of job |
| aspects of productivity | Individual Workplace (coworkers, union, managers) Compensation providers (WCB & insurance) Healthcare system |
| job analysis | Systematic & analytical process used in number of fields to understand, describe, and classify jobs Includes: job description, major tasks, job requirements (physical, cog, psychosocial), environmental conditions |
| job analysis can be used to develop | Descriptions Classifications Evaluation Design Qualifications Appraisals Trainings Mobility Efficiency Safety & rehab Manpower planning |
| job hazards analysis | Identify hazards associated with a job and to determine safety controls |
| rehabilitation and RTW | Communicate job requirements to insurer & healthcare providers Give data to aid in job matching & accommodation Assist in RTW Identify suitable alt work or modified work Clarify benefits entitlement |
| use of JDA in prevention/ health promotion | Identify jobs that may need ergonomic analysis & prevention Identify & prioritize safety concerns, engineering, and admin improvements |
| PDA for legal purposes must be | Formal & conducted prior Well documented Compiled from several up to date sources Sample of people interviewed Be done by trained analyst Represent important & critical aspects |
| components of JDA | Title Description Work hours Essential & non-essential duties Breaks Demands- physical, cog, sensory, psychosocial Env conditions |
| capturing JDA info | Interviews w/ key informants Direct observation & measurement Existing documentation Verbalize job tasks Structured questionnaires Diaries |
| essential tasks vs. non-essential tasks | Necessary to successfully perform a job vs. Not necessary to successfully perform a particular job A task that any worker may complete, not just those in the JDA |
| short cycle work | <3 min Factory based tasks, repeating the same task over and over 3-10 cycles |
| long cycle work | Irregular work patterns Trades, utilities, healthcare Ask workers how often they do the tasks Calculate avg work time x working hours - breaks = total task time |
| lifting how to measure vs. info to gather | Tape measure, scale, observation, interview vs. Handling heights, distance of item from body, twist, load stability, hands on lift, weight, frequency |
| carrying how to measure vs. info to gather | Counter (horizontal distance), scale, observation, interview vs. Handling height, load stability, hands, distance carrier, weight, frequency |
| push or pull how to measure vs. info to gather | Gauge, counter, tape measure, observation, interview vs. Handle height, distance moved, cart, hands, initial force, sustained force, frequency |
| people may be doing differently due to | Time Worn out equipment Overtime technique has changed |
| hand activity how to measure vs. info to gather | Note type of item handled, dynamometer, perceived exertion, scale, video vs. Item handled, weight, height of time spent doing task, type of grip used, method of operation |
| limitations of JDAs | No adopted format to date JDAs only as good as data that's in them Regularly updated to reflect job changes Strength classifications differ across tools |
| why the need for cognitive psychosocial JDAs | 1 in 3 living w/ neuro condition 1 in 8 living w/ mental disorder, anxiety, depression 1 in 10 living w/ chronic health condition |
| cognitive work demands | Face new tasks, improving work, doing unlearned things Work conditions that can result in effort- associated w/ physical & psych costs Challenge-hindrance models- dependent on the individual & work conditions |
| functional capacity evaluation | Evaluate an individual's function in various circumstances Standardized ax Objective measure of functional ability Often used in WCB, disability claims |
| medical model vs. functional testing | Gives guidelines based on healing timelines and pt reports vs. Determines capacity within a series of standardized tests using kinesiophysical approach to comment on observed changes w/ increasing load/ demands |
| each facility will establish clinical & procedural criteria for | Referral acceptance (insurance) Physician restrictions- surgical protocols Patient safety Report dissemination |
| functional testing doesn't proceed if | Medical contraindications Communication barriers/ limitations Consent not provided No referral |
| medical clearance | Precedes FCE- CV risk factors, surgical hx, injury stability, diagnostics PMHX and contraindications are reviewed Regulated health professional can complete an FCE |
| components of FCE | Reviews referral question Review medical package- injury hx, tx, diagnostics Client interview Review of job demands MSK screen Functional ax |
| MSK ax | ROM MMT Posture Balance test Sensation test Myotome test Gait Positional/ sitting tolerance |
| functional ax | Standardized positions, timing, heights for lifting stations outlines Positions or lifts mat be modified based on client presentation Client response to tasks are documented based on observations and corroborative w/ clients' reports |
| kinesiophysical approach | Observes movement & control, metabolic changes, pace & behavior to varying loads Physical effort changes observed Links to MSK screen & functional performance Maximum function- tests entire body |
| material handling vs. postural tests | Standardized lifts/ positions/ time Lifting, carrying vs. Standardized positions/ time Trunk flexion, kneeling, crouching Note: both can be modified |
| progression of tasks is based on | Physical signs of effort and corroborated w/ client injury Client reports SAFE lifting/ positional techniques If non-compensable injury is limiting factor, it should be documented |
| reasons for performance going too fast vs. going too slow | Improper form/ injury risk, not paying attention, compensating for physical limitation vs. Fatigue, lots of pain w/ movement, time pressure demands of task |
| qualitative results vs. quantitative results | Based on observed problems or physical limitations within tasks vs. Related to length of time the activity is performed |
| self-limited performance assessor | Will not see associated observations Occurs when client stops the activity w/ no signs of difficulty w/ task Due to pain, cog problems |
| observations in rehab setting | Will likely see signs of counterbalance, control & safety changes, more muscle recruitment w/ higher level of effort Consistency between tasks as well as MSK screening is considered |
| safety | Key Progression based on observable changes in muscle recruitment, symptoms, pace, and control Functional tolerance corroborated w/ what ax sees & what client reports |
| WCB FCE models | BFCE CFCE Specialized FCE (brain injury, covid, cpe) FIT protocol (functional interview based tool, semi structures functional interview approach) |
| BFCE vs. CFCE | Non-standardized short form. Tests determined based on injury specific protocols & job demands. Helps determine further rehab needs. vs. Standardized, over 2 days. Occurs in later stages of injury. Evaluation absence of work restrictions |
| virtual ax/ FIT protocol | Collaborative discussion Based on items in WorkWell FCE & tested within WCB Lead to higher baseline functional levels but didn't improve RTW levels |
| 2 criteria for assigning functional level from FCE | 1. Maximum performance observed 2. Performance must be consistent |
| classifying physical demand level | 1. How much weight was lifted & carried 2. Clients response 3. Knowledge of injury & recovery times |
| 2 methods of assigning physical demands level | 1. Assign level according to lowest amount of weight lifted 2. Assign level according to majority of weights lifted within a specific category & then identify exceptions where applicable |
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craftycats_
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