-----Original Message-----
From: Vicky Wells [mailto:[log in to unmask]]
Sent: 10 January 2012 09:28
To: 'Occupational Health mailing list'
Subject: RE: [OCC-HEALTH] quervains tenosynovitis
Hi Tracy
I would say that you need to request a report from the treating
consultant as you need to understand exactly what he is recommending
with regard to altered duties. He also needs to understand that this
can only be for a given period of time before a decision with regard to
redeployment will have to be made if she cannot return to her original
job in its entirety. You can also advise him of the support you have
and will continue to give her whatever the eventual outcome. Whether or
not you can allow her to work with splints will depend on a risk
assessment and food hygiene rules. The question about whether or not
splints are likely to improve or prevent exacerbation is another one for
the consultant. It may be that you need to give her a chance to return
with splints and whatever altered duties are advised but for a fixed
time before review. Then, if improvement is not made she is not fit to
fulfil her role so if nothing else is available she may have to go on
ill health or capability grounds eventually.
Hope this helps
Regards
Vicky Wells
OH Nurse Adviser
Hinchingbrooke NHS Trust
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Tracy Turner
Sent: 10 January 2012 08:56
To: [log in to unmask]
Subject: [OCC-HEALTH] quervains tenosynovitis
Good morning
Please can you help with this case which I am finding quite challenging.
32 yr lady working in sausage factory - repetative tasks required. Long
history of pain in both wrsits and shoulder. Given restricted role for
almost 3 motnhs - no improvement. Given splints to wear at work but I
advised she would be best refraining from work as even a light duty role
was not allowing full recovery.
S/B rheumatology - diagnosed with quervains tenosynovitis most likely
brought on by her repetative work. off work for 6 weeks - light ache in
wrists but wants to RTW. discharged by physio. It has been recommended
that she RTW with altered duties so that she does not have to make
repetative movements for whole shift and to lift less weights. The
specialist has said that she is likely to continue to have the symptoms
if she keeps injuring her wrists. Has anyone every dealt with an
employee with this diagnosis who has sucessfully returned to their
original role or would you recommend a permanent transfer to an
alternatve role. I dont think there is such a role available in the
factory. In my opinion she is unlikely to come under the DDA as every
day activities are not affected. Is it RIDDOR reportable?? Please also
note that she is clearly not telling her specialist of the support which
she has recived just that her Occupational Health Nurse does not want
her to work with splints! Do you think it is appropriate to work in a
repetative role if she required splints ?? Or do you think that now the
injury is improving splints would prevent further exacerbation. Sorry to
aks so many questions but I know you are all a knowledgable lot and will
help. Thank you.
********************************
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
Recipients should be aware that all E-mails received and sent may be made
available to third parties on receipt of a request made under the Freedom
of Information Act 2000 or the Data Protection Act 1998.
The information contained in this message or any of its attachments may be
privileged and confidential and intended for the exclusive use of the addressee.
The views expressed may not be official policy but the personal views of the
originator. If you are not the addressee any disclosure, reproduction,
distribution, other dissemination or use of this communication is strictly
prohibited. If you received this message in error please return it to the
originator. All messages sent by this organisation are checked for
viruses using the latest anti virus products. This does not and can not
however guarantee that a virus has not been transmitted. Please
therefore ensure that you take your own precautions for the detection
and eradication of viruses.
********************************
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
|