scholarly journals Occupational medicine’s role in return to work of the nurse bitten by belgian sheperds: Report of a case

2017 ◽  
Vol 5 (3) ◽  
pp. 41
Author(s):  
Lalić Hrvoje ◽  
Šutić Ivana ◽  
Tominić Jana

The aim is to accentuate the role of Occupational medicine (OM) when establishing fitness for work. A nurse, now 55, in 2014 was attacked by two Belgian Shepherds whilst picking asparagus in woods. She suffered scalp (still today partially without hair) and thorax injuries and on extremities partial and permanent muscles loss. She was treated by a surgeon, neurologist, psychologist, and psychiatrist. Applied were Cognitive Non – Verbal Test (CNT), Minnesota Multiphasic Personality Inventory (MMPI-201), Stress Perception Scale (PSS-10) and Beck’s depression inventory. The patient is on sick leave since March 2014. In December 2015 she came to OM specialist for work assessment. After suffering polytrauma it was suggested she takes on a less demanding job for the beginning of reintegration. Although unstable and walking with a crutch, the patient expressed strong will to go back to work. The management at the time did not find appropriate workplace for her, so she stayed on sick leave until April 2017. Then the new OM assessment was demanded. CNT showed that general intellectual efficacy is preserved and that the functioning is on the average level. MMPI showed increased levels for hypochondria, anxiety, aggressiveness, schizoid behavior and conversion. At the end, it was concluded that at present the patient was not capable to work as a nurse for now, but she could work as a clerk. The patient fully accepted that decision as well as the new management.

Author(s):  
Ernst von Kardorff

Why is there so little research on illness narratives in the workplace albeit the significant role of labour in society, the considerable increase of illnesses at work and high rates of sick-leave and early retirement? The importance of reconstructing illness narratives in the workplace for prevention, timely support, coping and staying at work is emphasized. It will further be shown how illness narratives are embedded in narrations on working conditions and return to work experiences. The mixed-method study focused on return to work trajectories of participants of vocational retraining. On this basis, this chapter discusses strategies of successful and failed arrangements in the workplace.


Assessment ◽  
1996 ◽  
Vol 3 (2) ◽  
pp. 179-191 ◽  
Author(s):  
Radhika Krishnamurthy ◽  
Robert P. Archer ◽  
Joseph J. House

The present study investigated the interrelationships among selected Minnesota Multiphasic Personality Inventory for Adolescents (MMPI-A) and Rorschach variables in a clinical sample of 152 adolescents, taking into account the potential moderating role of Rorschach response frequency ( R). A series of hypotheses were presented based on a priori selection of 28 MMPI-A scales and 43 Rorschach variables corresponding to 13 specific construct areas. The results consistently indicated very limited associations between conceptually related MMPI-A and Rorschach variables for the total sample and for high R and low R subgroups. The results did not support the contention, proposed by Meyer, that R exerts a moderating influence on Minnesota Multiphasic Personality Inventory (MMPI) and Rorschach relationships. Further analyses indicated that the interrelationships between the two measures continued to be minimal when response styles were concordant across the two methods of assessment and when participants were categorized by diagnosis. Suggestions for clinical assessment practice and future research are provided.


2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Kim Andre Bjørnerud ◽  
Morten Andreas Tvedt

Enhet for Helse og Arbeidsliv provides treatment services for patients with mild mental disorders within Raskere Tilbake. The purpose of this study is to evaluate the effect of the treatment. The study includes patients with mild mental disorders who have completed their treatment during the period 2009 to March 2015. The SCL 90-R was administered before arrival and at the end of treatment. Degree of return to work was measured as sick leave rate by the end of treatment and patients were contacted telephonically after 3, 6, 12 and 24 months for questions about sickness benefit. There has been a significant reduction in symptom pressure measured before and after treatment using SCL 90-R both on the global symptom index, and the various sub-scales. The proportion of total or partial return to work at the end of treatment was 76% (n = 148), 89% (n = 79) after three months, 93% (n = 67) after six months, 94% (n = 50) after 12 months, and 100% were fully or partially back to work after 24 months (n = 7).


2014 ◽  
Vol 30 (2) ◽  
pp. 110-116 ◽  
Author(s):  
Paolo Roma ◽  
Federica Ricci ◽  
Georgios D. Kotzalidis ◽  
Luigi Abbate ◽  
Anna Lubrano Lavadera ◽  
...  

In recent years, several studies have addressed the issue of positive self-presentation bias in assessing parents involved in postdivorce child custody litigations. The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) is widely used in forensic assessments and is able to evaluate positive self-presentation through its Superlative Self-Presentation S scale. We investigated the existence of a gender effect on positive self-presentation bias in an Italian sample of parents involved in court evaluation. Participants were 391 divorced parents who completed the full 567-item Minnesota Multiphasic Personality Inventory-2 during child custody evaluations ordered by several Italian courts between 2006 and 2010. Our analysis considered the S scale along with the basic clinical scales. North-American studies had shown no gender differences in child custody litigations. Differently, our results showed a significantly higher tendency toward “faking-good” profiles on the MMPI-2 among Italian women as compared to men and as compared to the normative Italian female population. Cultural and social factors could account for these differences.


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