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Results for “VOCATIONAL GUIDANCE”

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PubMed1993

Hand eczema: the atopic subject and work.

Of the large number of young persons entering the work force each year, few choose their work with more than cursory consideration of their physical ability to perform it. This is especially true of atopic persons. When the first manifestation of the disease is hand eczema triggered by the first work experience, often after the subject has undergone many months of training, the answer becomes very difficult. It often requires a job change, with accompanying economic and personal loss. When the work is responsible for aggravation or activation of the condition, the entire gamut of social services comes into play, including medical, legal, rehabilitation, and workers compensation. These lead, after months and often years, to job changes that may or may not alleviate or ameliorate the condition. For these reasons dermatologists need to have greater awareness of the position of the atopic subject in the workplace.

Adolescent↗
PubMed1993

[Handling of stress by psychiatric nursing students: II].

Stress is caused by the demands of everyday life and is an integral part of our lives. The manner in which stress is coped with, remains the responsibility of the individual herself. To be in the nursing profession today, is highly demanding. The psychiatric nurse experiences more stressors, because she is involved in a specialised area, where she uses herself as a therapeutic instrument on a scientific basis. The psychiatric nursing student finds herself in a situation where she is confronted by stressors from her personal and professional environment, as well as stressors caused by her present training in psychiatric nursing. To ensure quality nursing and job satisfaction by the psychiatric nursing students, it is important that their stressors must be identified and that they must learn in good time ways how to effectively cope with it. The psychiatric nursing student must learn ways to cope with her own stressors and consequently she will be in a position to be of assistance to her patients. Coping with stress unsuccessfully and not identifying a high stress load, can have disastrous consequences for both the psychiatric nursing student as well as for the specific organisation in which she is involved. The purpose of this research is to identify the precise stressors which influence the psychiatric nursing student during her training, as well as to establish guidelines to direct the psychiatric nursing student where coping with stress is concerned. A descriptive contextual field study was executed by identifying the stressors of a psychiatric nursing student in the area that she was involved in during her training.(ABSTRACT TRUNCATED AT 250 WORDS)

Adaptation, Psychological↗
PubMed1993

[Vocational promotion of psychiatrically handicapped patients in a Frankfurt am Main vocational training center].

In 1988, the Frankfort on Main Vocational Retraining Centre had decided in favour of increased, on-going admission of psychiatrically disabled adults, offering opportunities for their vocational education. The centre's objective is to enable psychiatrically disabled rehabilitees to successfully complete formal occupational training in as "normal" a setting as possible. This means: the Centre is a vocational rehabilitation facility, and is not directed at therapy or care. Psychiatrically disabled rehabilitees are accepted for up to 10 percent of available places in the various programme types. The overall objective is formal occupational qualification. A "training centre" open to all training orientations has been established for individualized service provision in the event of crisis situations during programme participation. Special attention is focussed on intensive, continuous further education of staff, inter alia by group supervision.

Combined Modality Therapy↗
PubMed1993

Multidisciplinary rehabilitation of chronic work-related upper extremity disorders. Long-term effects.

The prevalence of work-related upper extremity disorders has significantly increased in the past decade. Persistent pain, loss of function, and associated work disability in patients with work-related upper extremity disorders appears to be affected by multiple factors including physical capabilities in relation to work demands, ergonomic risk factors on the job, and psychological factors related to worker traits, psychological readiness to return to work, and ability to manage symptoms. The complex nature of these disorders suggests the utility of a multidisciplinary program targeted at these factors. The present study is an investigation of the long-term vocational outcome of a multicomponent rehabilitation program that includes physical conditioning, work conditioning, work-related pain and stress management, ergonomic consultation, and vocational counseling/placement. Two groups equivalent on measures of duration of work disability, pain severity, fear of reinjury, psychological distress, perceived work environment, age, and education level were exposed to either the comprehensive work rehabilitation intervention (n = 19) or usual care (n = 15). Return-to-work status was determined at an average of 17 months posttreatment (range, 3 to 35 months) for the treatment group and an average of 18 months postevaluation (range, 5 to 30 months) for the usual care group. Findings indicated that 74% of the treatment group returned to work or were involved in state-supported vocational training in contrast to 40% of the control group (P < .05). For those who returned to work, 91% of the treatment group were working full-time in contrast to 50% of the control group (P < .05). Although the treatment group demonstrated a higher return-to-work rate than controls, the work reentry rate was not as high as similar approaches with work-related low back pain (80% to 88% return-to-work rate). These findings suggest the need to modify treatment components to facilitate an increased return-to-work rate. Areas that may prove useful include a greater emphasis ergonomic modifications at the workplace to reduce the risks of repetitiveness, force, awkward posture, and insufficient work/rest cycles, as well as efforts to modify work style directly in order to reduce the impact of ergonomic stressors on the ability to perform essential job tasks. In combination with traditional work hardening efforts directed at improving strength and flexibility of the upper extremities and work-related pain and stress management training, these ergonomic and work-style modification efforts may contribute to increases in the percentage of work disabled cases who successfully return to competitive work.

Arm Injuries↗
PubMed1995

[An integrated concept for vocational rehabilitation of brain injured patients--a catamnestic study of occupational outcome 1 to 2 years later].

Presented is a vocational reintegration concept for clients following craniocerebral trauma and other acquired brain damage. Close dovetailing of vocational and therapeutic measures is advocated, as it is mostly the neuropsychological disorders or problems in behaviour and emotional experience that stand in the way of returning to work. A work experience and adjustment setting holds particularly great potential for addressing these difficulties in a day-to-day life-related, remedial manner. Another focus is follow-up care of those clients who have returned to competitive employment. These clients are called on regularly at their workplace by programme vocational guidance/vocational assessment staff; necessary adaptations are carried out, difficulties dealt with, and possible solutions sought jointly with the employer. A catamnestic study was undertaken to verify how many of the clients included in the programme had achieved long-term resettlement. It was found that the great majority of those who had returned to their former job, have retained their employment some one to two years later, with most of them working at a lower level than before the event. Clients unable to return to their former employer had mostly been pensioned despite the presence of partial working capacity.

Adolescent↗