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Therona, 

 

I can probably help you here. Clare heath is an experienced Occ health
Physio who does FCAs in your area. FCAs (Functional Capacity Assessment)
are the shortened 2 hour version of a full blown FCE which - if you
check the Matheson (American) method - is a 6-8 hour assessment which in
very detailed (often too detailed) and more geared to the legally
binding / compensation culture of the states.

 

I will happily give you Clares' contact details to liaise with her
regarding a plan for this client.

 

Regards,

Wayne Llewellyn
Clinical Director

 

* 6-9 Timber Street, London, EC1Y 0TQ
' 020 7687 7600

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From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Carr Barnes
Sent: 02 May 2012 14:54
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Prophyllactic Mastectomy

 

Sorry Therona....Functional Capacity Evaluation. Takes about 2 hours and
tests functional tolerances against job demands. But also identifies
where the person may not be putting full effort into the tests and also
looks for any yellow flags. They are fantastic and I learnt about them
from the master Mandy Kelly who contributes to this list. I was lucky to
work with her for many years before she went independent.

Regards,

Carr

On May 2, 2012 2:39 PM, "Therona Goldsmith Occupational Health Nurse
Advisor" <[log in to unmask]> wrote:

Im sure I have come across this before but for the likes of me, I cannot
work it out - what does FCE stand for?

 

Kind Regards

Therona Goldsmith

 

Wellbeing Service | Occupational Health | PO Box 11 | County Hall |
Chelmsford | CM1 1LX | 01245 430222 (ednet 20222)

 

From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Carr Barnes
Sent: 01 May 2012 11:29
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Prophyllactic Mastectomy

 

The OT doing the FCE will look at all that for me thankfully and we can
refer on for CBT and physio etc if required. 

 

CBT methinks is limited however as it will only "work" if the ultimate
aim/target is "desireable" for her.

On 1 May 2012 11:14, Anna <[log in to unmask]> wrote:

Hi

 

Sounds as though it is anxiety related, have you done HADs, but even if
these are in the norm ranges may be CBT type coaching/encouragement and
also exploration of the avoidance behaviour

 

Anna Harrington
Specialist Community Public Health Nurse (Occ health)
Midlands Region Director AOHNP 
www.harringtonenterprises.co.uk
<http://www.harringtonenterprises.co.uk/> 
07816212836

	----- Original Message ----- 

	From: Carr Barnes <mailto:[log in to unmask]>  

	To: [log in to unmask] 

	Sent: Tuesday, May 01, 2012 11:00 AM

	Subject: Re: [OCC-HEALTH] Prophyllactic Mastectomy

	 

	Call me cyncial but I think the main barrier is that she doesn't
want to go back working outdoors when she has been on this indoor duty
for 4 years and it is a much coveted duty.

	On 1 May 2012 10:59, Carr Barnes <[log in to unmask]> wrote:

	
	Thanks Janet.. that was my undersanding too. She was a difficult
assessment,.,,.. not very forthcoming and difficult engage. I am
thinking maybe adhesions due to all the surgeries but she was very non
commital when i asked her whether she was aware of any medically advised
complications from her surgeries.

	 

	
	 

	On 1 May 2012 10:23, Janet Patterson <
[log in to unmask]> wrote:

	Post surgery 6 weeks limitations other than that there is no
evidence to suggest individuals are hindered with sport or manual
handling.

	Regards

	J

	 

	From: [log in to unmask] [mailto:
[log in to unmask]] On Behalf Of Carr Barnes
	Sent: 01 May 2012 10:00
	To: [log in to unmask]
	Subject: [OCC-HEALTH] Prophyllactic Mastectomy

	 

	Hi all

	 

	31 year old female - double mastectomy due to pre-cancerous gene
in 2009; reconstructive surgery but has had numerous "redos" due to
infections etc. States physically well now and no impairment to ADLs etc
although may have implants revised later this year for positioning.

	 

	Works in logistics and can manage parcels etc - has to move them
from shelving to customer when customer calls to collect parcel.

	 

	States does not feel can push/pull trolleys of parcels but
cannot tell me why apart from "think it would hurt".. I am referring for
an FCE but am just wondering if anyone has come across functional
limitaitons after breast implant surgeries?

	 

	Carr

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