What a comprehensive response!
I have a mentor who often uses the following
F - false
E- evidence/expectation
A - appearing
R - real
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Catherine Tye
Sent: 15 February 2011 10:25
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] DSE work and cardiac pacemakers
Hi Jo & list,
I'm assuming ICD means 'internal cardiac defib.' If so I had a client
who had an ICD for some kind of QT syndrome - she collapsed, died was
finally resuscitated 45 mins later and was in a coma for 3 months and
lost everything - memory, didn't recognise her partner, children, her
home, ability to walk and doing basic things - she had to relearn the
lot! (My first referral in a new job - eek!!) I learnt a lot from her.
She said that every time it fired it felt like she had been kicked and
it was a reminder that she wasn't whole. She also felt guilt as her
daughter was found to also have the condition and would require
life-long medication. Both had to take high dose propanolol but that her
feeling flat in mood. She was also recommended to attend a support group
but that scared her even more - hearing about other people's
experiences!
I have found that anyone who has had to have treatment for a heart
condition particularly where they have been able to feel an irregular
heart beat and or had chest pain will have had to face their own
mortality, often at an age much younger than expected. In a way he has
experienced a 'death' and will be grieving for his previous life, body
and mind - everything he believed/believes in has been challenged and he
will be feeling a little lost and depression is common.
On an spiritual/ energetic level the heart is symbolic of all
relationships (particularly to mother and wife and other women) and so
ability to fully embrace love again may be another concern. Men
traditionally struggle to receive through their heart, yet it is the
route through which women give love and attention and can be very
healing on an energetic level. In a way his heart has been broken and
mended by mechanical means.
It may be a difficult conversation for you to have with him but you may
be able to start by simply acknowledging he has been through a very
scary time as the loss of heart related health can feel like a form of
death and that that is totally normal. He needs to be gentle with
himself giving himself time to grieve and to regain his confidence and
self-esteem. Losing 'heart strength' can undermine the masculine part of
a person as fears of physical and mental exertion are stressors
depending on his belief system - men are expected to be strong and the
providers. Over time he will realise that he is stronger on all levels
than he thinks.
You haven't said what his role was. Ask where his fears regarding DSE
work come from - is it the ICD or that he doesn't know how to switch it
on, use a mouse etc? Or is it the sedentary part? His beliefs may be
that sedentary work is for women or similar - he may need to see a clear
plan of getting back to physical work to motivate him to move forward
and gently flex his boundaries (otherwise you may be unintentionally
undermining his beliefs in his masculinity - whether he actually gets
there or not is not the point - that is a decision for him to come to
over time. We may have to manage risk in OH but you can only take on so
much responsibility for him. If his cardiac team have given the ok then
he needs to increase his physical and mental stamina and start to face
his fears over a period of time - how long can your company support him
for? The rehab plan may need to be 3-4 months.)
When feeling fear, a reaction or emotion we can all benefit from
'checking-in' with our mind, body and heart and see what they are
telling us. One of my spiritual teachers says there are two meanings to
the word FEAR - friendly energy announcing risk or f**k everything and
run!
Hope that helps, have a good day
Catherine
:0)
------------------------------
Date: Mon, 14 Feb 2011 13:01:06 -0000
From: "Naylor, Sharon [HMPS]" <[log in to unmask]>
Subject: Re: DSE work and cardiac pacemakers
Never underestimate the power of fear and lack of information, or maybe
even a lack of IT skills?
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Joanna Edwards
Sent: 14 February 2011 12:47
To: [log in to unmask]
Subject: [OCC-HEALTH] DSE work and cardiac pacemakers
Hello list
I want to support someone back in to work in a sedentary role -
predominantly office based. I think he needs to develop confidence in
his ability to undertake work of any nature after insertion of a dual
chamber pacemaker some time ago now. I am beginning to sense a
reluctance as he has told his supervisor that he is not able to work
with computers due to the potential for interference with his pacemaker.
Is this likely? Have any of you come across this before? All of life is
computerised these days which suggests that he is not going to be safe
anywhere!
Your comments and advice gratefully received.
Jo
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------------------------------
Date: Mon, 14 Feb 2011 15:00:53 +0100
From: "Wood, Catherine" <[log in to unmask]>
Subject: Diabetic Awareness
Dear List,
Over the next few weeks in order to raise awareness of Diabetes amongst
the First Aiders onsite, I am planning to deliver a short training
programme.
Therefore, if anyone has a PowerPoint presentation or similar that they
would be willing to share with me for ideas, it would be much
appreciated.
Thank you in anticipation
Kind Regards,
Catherine
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------------------------------
Date: Mon, 14 Feb 2011 14:26:33 -0000
From: Wayne Llewellyn <[log in to unmask]>
Subject: Re: DSE work and cardiac pacemakers
Joanne,
We have had many clients with already fitted and re-introduced several
with newly fitted ones and there ahs never been a problem with any
electro-magnetic interference. There are many more powerful
electromagnetic field in life than computers (televisions being one
example) which would potentially be more problematic but are not.
However, i have 2 staff following a masters in ergonomics to whom i have
posed your query for any research or evidence based material and i will
get back to you with their responses.
Regards,
Wayne Llewellyn
Clinical Director
C 6-9 Timber Street, London, EC1Y 0TQ
' 020 7687 7600
[log in to unmask]
w www.premiertherapy.co.uk
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-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Joanna Edwards
Sent: 14 February 2011 12:50
To: [log in to unmask]
Subject: [OCC-HEALTH] DSE work and cardiac pacemakers
Hello list
I want to support someone back in to work in a sedentary role -
predominantly office based. I think he needs to develop confidence in
his ability to undertake work of any nature after insertion of a dual
chamber pacemaker some time ago now. I am beginning to sense a
reluctance as he has told his supervisor that he is not able to work
with computers due to the potential for interference with his pacemaker.
Is this likely? Have any of you come across this before? All of life is
computerised these days which suggests that he is not going to be safe
anywhere!
Your comments and advice gratefully received.
Jo
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------------------------------
Date: Mon, 14 Feb 2011 15:00:06 -0000
From: "Info@theohs" <[log in to unmask]>
Subject: Re: Presentation request
Hi All,
I was wondering if anyone has a short presentation on hand hygiene for
food handlers in manufaturing that they would be willing to share.
Many Thanks
Lynne Gilliland.
----- Original Message -----
From: ILISE Feitshans
To: [log in to unmask]
Sent: Friday, February 11, 2011 9:11 AM
Subject: Re: [OCC-HEALTH] Presentation request
: 9.0.872 / Virus Database: 271.1.1/3435 - Release Date: 02/10/11
19:34:00
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------------------------------
Date: Mon, 14 Feb 2011 14:59:20 +0000
From: Clare Haddow <[log in to unmask]>
Subject: Re: DSE work and cardiac pacemakers
Hi Jo
Attached is quite an interesting article, maybe helpful.
I was involved with a client retuning back to work from an implantable
cardioverter defibrillator (ICD). The ICD constantly monitors his heart
rhythm,
and if it senses that a rhythm disturbance is beginning it can deliver
treatment.
The advice below is from my management report back to his employer
after having
done some considerable research:
Hopefully Mr X will have little disruption to his life although it may
take him
some time to become accustomed to having the ICD in place.
He may benefit from working reduced hours for the first month; this
will depend
on how he feels.
He will have further follow up consultations with his specialist
He should meet with his line manager on a fairly regular basis to
discuss how he
is coping with the demands of work
He should be aware of any magnets and electromagnets at work, as his
ICD can be
affected by strong electromagnetic fields.
Radios, fridges cookers, computers and microwaves will not affect his
ICD.
He should not climb ladders at work and he should avoid arc welding
Mobile phones should be kept at least 4-6 inches away from the ICD, and
he
should hold his phone over the ear on the opposite side of the device.
Hope this is helpful
Kind regards
Clare
Clare Haddow
Occupational Health Nurse Specialist
www.chohs.co.uk
Quoting Joanna Edwards <[log in to unmask]>:
> Hello list
>
> I want to support someone back in to work in a sedentary role -
> predominantly office based. I think he needs to develop confidence
> in his ability to undertake work of any nature after insertion of a
> dual chamber pacemaker some time ago now. I am beginning to sense a
> reluctance as he has told his supervisor that he is not able to work
> with computers due to the potential for interference with his
> pacemaker. Is this likely? Have any of you come across this before?
> All of life is computerised these days which suggests that he is not
> going to be safe anywhere!
>
> Your comments and advice gratefully received.
>
> Jo
>
> ********************************
> Please remove this footer before replying.
>
> OCC-HEALTH ARCHIVES:
> http://www.jiscmail.ac.uk/lists/occ-health.html
>
> CONFERENCES AND STUDY DAYS:
> http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
>
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------------------------------
Date: Mon, 14 Feb 2011 15:30:38 +0000
From: Julie Leonard <[log in to unmask]>
Subject: Re: DSE work and cardiac pacemakers
If you contact the local cardiac rehab team they will give appropriate
advice regarding the restrictions with his particular device you may
wish to engage with him and ask him to give consent for you to liaise.
With the cardiac team quite together and give him the confidence
------Original Message------
From: Joanna Edwards
Sender: [log in to unmask]
To: [log in to unmask]
ReplyTo: Occupational Health mailing list
Subject: [OCC-HEALTH] DSE work and cardiac pacemakers
Sent: 14 Feb 2011 12:46
Hello list
I want to support someone back in to work in a sedentary role -
predominantly office based. I think he needs to develop confidence in
his ability to undertake work of any nature after insertion of a dual
chamber pacemaker some time ago now. I am beginning to sense a
reluctance as he has told his supervisor that he is not able to work
with computers due to the potential for interference with his pacemaker.
Is this likely? Have any of you come across this before? All of life is
computerised these days which suggests that he is not going to be safe
anywhere!
Your comments and advice gratefully received.
Jo
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Sent using BlackBerry(r) from Orange
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------------------------------
Date: Mon, 14 Feb 2011 15:58:58 +0000
From: Carr Barnes <[log in to unmask]>
Subject: Re: DSE work and cardiac pacemakers
Hi
Anxiety related to cardiac health is acknowledged by the BHS as one of
the
common reasons potentially fully functional men fail to resume work in
any
capacity.
The reasons for it may be complex.. personal experience of family
members
with heart disease, cultural issues (particularly if of an Asian
background), over protective family, a feeling that "there is now more
to
life" etc. As anxiety can cause increased heart rate and perceived chest
pain this can often make the perceived "risk" very real to the employee
feeding into the belief.
It is very hard to sway these people from such beliefs with "common
sense",
explanation and reasurrance... as far as they are concerned their lives
are
practically at risk.
However CBT (with the target of RTW) can be very very effective in
resolving
the fear-avoidance behaviours and would be well worth the investment by
the
employer. I would suggest it would be potentially quite difficult to get
this employee to return without such an intervention and even with the
advice that he is medically fit per se (i.e no know risk established
between
VDUs and the condition) I imagine a cert for "stress" would be a likely
next
document received. As such I would suggest careful handling so as to
support
this guy in becoming confident in his "safety" at work.
http://www.bhf.org.uk/publications/view-publication.aspx?ps=1000739 is a
very useful document.
Carr
On 14 February 2011 15:30, Julie Leonard
<[log in to unmask]>wrote:
> If you contact the local cardiac rehab team they will give appropriate
> advice regarding the restrictions with his particular device you may
wish to
> engage with him and ask him to give consent for you to liaise. With
the
> cardiac team quite together and give him the confidence
> ------Original Message------
> From: Joanna Edwards
> Sender: [log in to unmask]
> To: [log in to unmask]
> ReplyTo: Occupational Health mailing list
> Subject: [OCC-HEALTH] DSE work and cardiac pacemakers
> Sent: 14 Feb 2011 12:46
>
> Hello list
>
> I want to support someone back in to work in a sedentary role -
> predominantly office based. I think he needs to develop confidence in
his
> ability to undertake work of any nature after insertion of a dual
chamber
> pacemaker some time ago now. I am beginning to sense a reluctance as
he has
> told his supervisor that he is not able to work with computers due to
the
> potential for interference with his pacemaker. Is this likely? Have
any of
> you come across this before? All of life is computerised these days
which
> suggests that he is not going to be safe anywhere!
>
> Your comments and advice gratefully received.
>
> Jo
>
> ********************************
> Please remove this footer before replying.
>
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>
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>
>
> Sent using BlackBerry(r) from Orange
>
> ********************************
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>
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End of OCC-HEALTH Digest - 13 Feb 2011 to 14 Feb 2011 (#2011-48)
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