Rating Survivors of COVID-19 for Permanent Impairment

2020 ◽  
Vol 25 (4) ◽  
pp. 3-7
Author(s):  
James B. Talmage ◽  
Mark H. Hyman ◽  
Robert B. Snyder
Keyword(s):  
Health Care ◽  
Occupational Exposure ◽  
Health Care Professionals ◽  
Emergency Medical Technicians ◽  
Workers Compensation ◽  
Emergency Medical ◽  
Compensation Claims ◽  
The Individual

Abstract The current pandemic of COVID-19 cases includes cases identified in emergency medical technicians, nurses, physicians, and others with occupational exposure to the SARS-CoV-2 virus. Many of these health care professionals have filed workers' compensation claims that have been accepted. Each accepted claim will eventually need a physician to declare the individual “at maximal medical improvement” or the equivalent phrase in the jurisdiction involved. The next step is for the physician to rate permanent impairment, if present, so the case can be administratively closed. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) is used by many jurisdictions, but the AMA Guides does not mention COVID-19 or have guidance on how to assess individuals for impairment after recovery from this illness. This article provides preliminary guidance on rating permanent impairment within the respiratory, cardiac, vascular, neurologic, renal, gastrointestinal, and/or mental systems in COVID-19 survivors. Current references on the manifestations of COVID-19 illness in these body systems are included, which can be used as references to support documented impairment related to this illness.

scholarly journals Physical Therapists Who Claimed Workers' Compensation: A Qualitative Study

2003 ◽  
Vol 83 (12) ◽  
pp. 1080-1089 ◽  
Author(s):  
Jean E Cromie ◽  
Valma J Robertson ◽  
Margaret O Best
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Physical Therapists ◽  
Compensation System ◽  
Workers Compensation ◽  
Employment Opportunities ◽  
Small Minority ◽  
Work Related ◽  
Work Related Musculoskeletal Disorders ◽  
Compensation Claims

Background and Purpose. Although most physical therapists experience work-related musculoskeletal disorders (WMSDs) at some time, only a small minority claim workers' compensation. This article describes the experiences of a group of therapists with WMSDs who made compensation claims. Methods. Interviews were used to document the experiences of physical therapists who reported that they had changed their career because of WMSDs. Results and Discussion. Therapists described their experiences in negative terms and found dealing with the workers' compensation system frustrating and unpleasant. They encountered attitudes that labeled them as malingerers and felt their credibility was questioned. Conclusions. Physical therapists' experiences of the workers' compensation system were negative, and they were keen to become independent of it. Those who claimed workers' compensation perceived that a compensable claim could limit their employment opportunities, making confidentiality an important issue when treating other health care professionals.

Navigating the health care system: perceptions of patients with chronic pain

2009 ◽  
Vol 29 (4) ◽  
pp. 162-168
Author(s):  
AL Dewar ◽  
K Gregg ◽  
MI White ◽  
J Lander
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Health Care System ◽  
Health Care Professionals ◽  
Primary Care Physicians ◽  
Treatment Compliance ◽  
Care Utilization ◽  
Semistructured Interviews ◽  
The Individual ◽  
Care System

A new framework is needed for patients with chronic pain and their primary care physicians that acknowledges the individual’s experiences and provides evidence-informed education and better linkages to community-based resources. This study describes the experience of 19 chronic-pain sufferers who seek relief via the health care system. Their experiences were recorded through in-depth semistructured interviews and analyzed through qualitative methods. The participants reported early optimism, then disillusionment, and finally acceptance of living with chronic pain. Both individuals with chronic pain and their health care professionals need evidence-informed resources and information on best practices to assist them to manage pain. Empathetic communication between health care professionals and individuals with chronic pain is crucial because insensitive communication negatively affects the individual, reduces treatment compliance and increases health care utilization.

The Globalization of Health Law: The Case of Permissibility of Placebo-based Research

2000 ◽  
Vol 26 (2-3) ◽  
pp. 175-186
Author(s):  
Timothy S. Jost
Keyword(s):  
Health Care ◽  
Medical Practice ◽  
Health Care Professionals ◽  
Global Markets ◽  
Health Law ◽  
Cross Border ◽  
Internet Pharmacies ◽  
The Individual ◽  
Global Communications ◽  
National Borders

If any trend can be confidently predicted for the next millennium (or, more modestly, for our lifetimes) it is the globalization of health law. We live in an age of global markets and global communications. While care of the individual patient has remained largely local, national borders are quite porous to health care professionals. The cross-border flow of patients is a significant factor in some regions, and the development of telemedicine and internet pharmacies is radically expanding the possibility of cross-border medical practice.

Mobility in Multiple Sclerosis: More than just a Physical Problem

2000 ◽  
Vol 2 (1) ◽  
pp. 51-61 ◽  
Author(s):  
A Chan ◽  
CS Heck
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Population Health ◽  
Health Care Professionals ◽  
Physical Disability ◽  
Physical Problem ◽  
Societal Issue ◽  
Individual Level ◽  
Mobility Devices ◽  
The Individual

Abstract Mobility restriction is a common physical disability among individuals with multiple sclerosis (MS). Psychological, sociocultural, environmental, political, and economic influences are among the factors that affect the mobility of a person with MS. These factors have also been identified as elements of the determinants of individual and population health. Health care professionals providing services to the MS population often prescribe appropriate mobility devices for those with mobility restrictions. The goal is to enhance activities and participation in all domains of the individual's life. In addition to directing their services at the individual level, health care professionals addressing mobility issues of individuals with MS should include the additional factors and other determinants of health at the population and societal levels. Therefore, mobility is not only an individual's physical problem, but it is also a population health issue and a societal issue.

scholarly journals Health Care Professionals and Family Perspectives of Youth’s Trauma: Suggestions for Coaching and Self-Leadership

2015 ◽  
Vol 7 (1) ◽  
pp. 48-57
Author(s):  
Karien Jooste ◽  
Jeanette Maritz
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Social Institution ◽  
Qualitative Approach ◽  
Ripple Effect ◽  
Family Perspectives ◽  
Field Notes ◽  
The Individual ◽  
Social Turmoil ◽  
Healthy Community

Family forms the first and most important social institution in every society. Although traumatised families may be the root of much personal and social turmoil, a healthy community and family is the most vital way to deal with social change and challenges. In the light of increasing violence and trauma in South Africa, youths adverse exposures to violence and trauma have been identified as a distressing health care problem globally and for our communities and families at large. This study sought to explore and describe community and family perspectives of youth’s trauma in order to propose a holistic support approach. A qualitative approach was followed and participants (health care professionals and parents) were purposefully selected. Data were gathered through interviews, a focus group and field notes. Data were analysed thematically. Health care professionals and parents shared similar experiences and concerns relating to their perceptions of youths’ experiences of trauma. Parents however had a more negative regard of the youth and their capabilities to deal with trauma. The trauma experience was seldom contained to the individual but had a traumatising ripple effect on the parents, and community. This often left the entire system feeling helpless and depleted of resources to cope.

Links Between Perceptions and Practices in Patient Education: A Systematic Review

2019 ◽  
Vol 46 (6) ◽  
pp. 1001-1011 ◽  
Author(s):  
Sandrine Roussel ◽  
Mariane Frenay
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Patient Education ◽  
Health Care Professionals ◽  
Quality Criteria ◽  
World Health ◽  
Health Organization ◽  
The Individual ◽  
Meta Analyses

Background. Two decades after “patient education” was defined by the World Health Organization, its integration in health care practices remains a challenge. Perceptions might shed light on these implementation difficulties. This systematic review aims to investigate links between perceptions and patient education practices among health care professionals, paying particular attention to the quality of practices in order to highlight any associated perception. Method. PubMed, PsycINFO, and Scopus were searched using the following search terms: “perceptions,” “patient education,” “health care professionals,” and “professional practices.” PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were used. Results. Twenty studies were included. Overall findings supported the existence of links between some perceptions and practices. Links were either correlational or “causal” (generally in a single direction: perceptions affecting practices). Four types of perceptions (perceptions of the task including patient education, perceptions about the patient, perceptions of oneself as a health care professional, and perceptions of the context) were identified as being linked with educational practices. Links can although be mediated by other factors. Results concerning links should, however, be considered with caution as practices were mostly assessed by prevalence measurements, were self-reported and concerned exclusively individual education. When analyzing the quality of practices, the two retained studies highlighted their changing nature and the central role of perceptions with respect to the individual patient. Conclusions. This literature review led us to specify the quality criteria for further research: covering the entire spectrum of patient education, operationalizing variables, exploring specific practices, measuring the quality of practices, developing designs that facilitate causation findings, and considering a bidirectional perspective.

Creonization of Health Care

1990 ◽  
Vol 6 (2) ◽  
pp. 297-303
Author(s):  
Roger J. Bulger
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Greek Tragedy ◽  
Large Data ◽  
The Self ◽  
Data Bases ◽  
Definition Of Health ◽  
Definition Of ◽  
The Individual ◽  
Contemporary Health Care

AbstractAs prefigured in the Greek tragedy Antigone, one of the primary conflicts in contemporary health care is that between humane concern for the individual and concern for society at large and administrative rules. The computerization of the health care system and development of large data bases will create new forms of this conflict that will challenge the self-definition of health care and health care professionals.

scholarly journals Tensions Living Out Professional Values for Physical Therapists Treating Injured Workers

2018 ◽  
Vol 29 (6) ◽  
pp. 876-888
Author(s):  
Anne Hudon ◽  
Debbie Ehrmann Feldman ◽  
Matthew Hunt
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Physical Therapists ◽  
Quality Care ◽  
Injured Workers ◽  
Professional Values ◽  
Workers Compensation ◽  
Care Services ◽  
Canadian Provinces

Health care services provided by workers’ compensation systems aim to facilitate recovery for injured workers. However, some features of these systems pose barriers to high quality care and challenge health care professionals in their everyday work. We used interpretive description methodology to explore ethical tensions experienced by physical therapists caring for patients with musculoskeletal injuries compensated by Workers’ Compensation Boards. We conducted in-depth interviews with 40 physical therapists and leaders in the physical therapy and workers’ compensation fields from three Canadian provinces and analyzed transcripts using concurrent and constant comparative techniques. Through our analysis, we developed inductive themes reflecting significant challenges experienced by participants in upholding three core professional values: equity, competence, and autonomy. These challenges illustrate multiple facets of physical therapists’ struggles to uphold moral commitments and preserve their sense of professional integrity while providing care to injured workers within a complex health service system.

Performance Enhancement and Health Care Professionals’ Ethical Obligation

2017 ◽  
Vol 22 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Katherine R. Newsham
Keyword(s):  
Health Care ◽  
Social Contract ◽  
Health Care Professionals ◽  
Performance Enhancement ◽  
Personal Autonomy ◽  
Ethical Obligation ◽  
Individual User ◽  
The Individual

Performance enhancement is a multibillion dollar industry, with little known about the efficacy or safety of many practices. Many sport governing bodies have banned certain equipment, supplements, and drugs, yet, some athletes use anyway. This use may pose a danger to the individual user, as well as to other participants, and can challenge the integrity of the sport. We must consider how we, as health care professionals, balance personal autonomy, individual safety, and the integrity of sport in fulfilling our social contract.

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