See attached - the heartsink one may be helpful in the interview (think it came from Karen or Carr not long ago) and the British Journal of Psychiatry one to understand the condition.
Also you might want to google 'Medically Unexplained Symptoms'
Red flags leading to poor prognosis are he believes he is very unwell and he refuses intervention.
It is up to the company to tolerate his absence because the chances of it getting less is small unless he has an appropriate intervention.
Sue
Susan Gorton | OH Nurse Manager | Occupational Health Department | Great Ormond Street Hospital NHS Foundation Trust | Level 3, Ormond House, 26-27 Boswell St., London WC1N 3JZ |020 7405 9200 Ext 0247 | DD to OHD 020 78138554 | Direct Fax 020 78138355 | Mobile 07833294568
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-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of SUBSCRIBE OCC-HEALTH Lynne Whitmore
Sent: 09 November 2012 14:57
To: [log in to unmask]
Subject: [OCC-HEALTH] Functional Syndrome advice please
Dear list,
I would appreciate any advice regaring dealing with a chap with' functional syndrome' . Historically he has had significant abscences over the past few years. Each episode results in him taking 3 to six months off at a time . This is always supported by his G.P. He has had multiple investigations investigating collapse , urinary incontinence and back pain .
The current episode is for leg pain and dizziness.
The employing company have been supportive and have always accomodated phased returns and adjusted duties .Once he returns he does not appear to have any problems . I have maintained regular contact and visited him at home . He remains dismissive of any structured help. Interestigly has given us an estimated date of a full recovery .
I previously refered him to an OHP prior to his previous return to work as the case was not progressing . He was assessd as fit to return but would be likely to experience future episodes of this condition .
The individual is closed to seeking advice from ATW or any other agencies .He states that he can't drive but then decided he could make short journeys when the provision of taxis was suggested .
He denies low mood or any suggestion of depression , he can become defensive and is very clear on his' diagnosis' and percieves himself as 'very ill'. At work he is a team leader and I have been informed that he tend to bully the other men .
He has just been signed off for a further four weeks by his GP making this month five .
I am currently at a loss where I can go from here ,apart from referring him to the OHP who may just repeat the previous advice .
I have explored getting a functional assessment and physio but again he is closed to this intervention.
I have written to his G.P for some updated information and also to inform her of what we can and are prepared to do for him .
Any advice gratefully recieved and have a good weekend '
Best regards
Lynne
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