Good practice in occupational health services – Certification of stroke as an accident at work. Need for secondary prevention in people returning to work after acute cerebrovascular events

2.50
Hdl Handle:
http://hdl.handle.net/10146/581670
Title:
Good practice in occupational health services – Certification of stroke as an accident at work. Need for secondary prevention in people returning to work after acute cerebrovascular events
Authors:
Marcinkiewicz, Andrzej ( 0000-0001-9733-1890 ) ; Walusiak-Skorupa, Jolanta ( 0000-0003-0836-6800 )
Other Titles:
DOBRE PRAKTYKI W OPIECE PROFILAKTYCZNEJ NAD PRACUJĄCYMI – KWALIFIKACJA UDARU MÓZGU JAKO WYPADKU PRZY PRACY. POTRZEBA PROWADZENIA PREWENCJI WTÓRNEJ U OSÓB POWRACAJĄCYCH DO PRACY PO OSTRYCH INCYDENTACH MÓZGOWO-NACZYNIOWYCH
Abstract:
The classification of an acute vascular episode, both heart infarct and stroke, as an accident at work poses difficulties not only for post accidental teams, but also to occupational health professionals, experts and judges at labor and social insurance courts. This article presents the case of a 41-year-old office worker, whose job involved client services. While attending a very aggressive customer she developed solid stress that resulted in symptoms of the central nervous system (headache, speech disturbances). During her hospitalisation at the neurological unit ischemic stroke with transient mixed type aphasia was diagnosed. Magnetic resonance imaging (MRI) scan of the head revealed subacute ischemia. After an analysis of the accident circumstances, the employer’s post accidental team decided that ischemic stroke had been an accident at work, because it was a sudden incident due to an external cause inducing work-related traumatic stroke. As a primary cause tough stress and emotional strain due to the situation developed while attending the customer were acknowledged. During control medical check up after 5 months the patient was found to be fit for work, so she could return to work. However, it should be noted that such a check up examination of subjects returning to work after stroke must be holistic, including the evaluation of job predispositions and health education aimed at secondary prevention of heart and vascular diseases with special reference to their risk factors.
Affiliation:
Nofer Institute of Occupational Medicine, Lodz, Poland
Citation:
Med. Pr. 2015;66(4):595–599
Journal:
Medycyna Pracy
Issue Date:
2015
URI:
http://hdl.handle.net/10146/581670
DOI:
10.13075/mp.5893.00217
Additional Links:
http://www.journalssystem.com/medpr/Dobre-praktyki-w-opiece-profilaktycznej-nad-pracujacymi-Kwalifikacja-udaru-mozgu-jako-wypadku-przy-pracy-Potrzeba-prowadzenia-prewencji-wtornej-u-osob-powracajacych-do-pracy-po-ostrych-incydentach-mozgowo-naczyniowych,58335,0,2.html; http://medpr.imp.lodz.pl/Dobre-praktyki-w-opiece-profilaktycznej-nad-pracujacymi-kwalifikacja-udaru-mozgu-jako-wypadku-przy-pracy-Potrzeba-prowadzenia-prewencji-wtornej-u-osob-powracajacych-do-pracy-po-ostrych-incydentach-mozgowo-naczyniowych,58335,0,1.html
Type:
Article
Language:
pl
ISSN:
0465-5893
Sponsors:
IMP 10.21/2014 pt. „Ocena potencjału badań profilaktycznych z zakresu medycyny pracy do zwiększenia skutecznej prewencji cukrzycy i nadciśnienia tętniczego w Polsce”
Appears in Collections:
Articles

Full metadata record

DC FieldValue Language
dc.contributor.authorMarcinkiewicz, Andrzejen
dc.contributor.authorWalusiak-Skorupa, Jolantaen
dc.date.accessioned2015-11-04T09:26:35Zen
dc.date.available2015-11-04T09:26:35Zen
dc.date.issued2015en
dc.identifier.citationMed. Pr. 2015;66(4):595–599en
dc.identifier.issn0465-5893en
dc.identifier.doi10.13075/mp.5893.00217en
dc.identifier.urihttp://hdl.handle.net/10146/581670en
dc.description.abstractThe classification of an acute vascular episode, both heart infarct and stroke, as an accident at work poses difficulties not only for post accidental teams, but also to occupational health professionals, experts and judges at labor and social insurance courts. This article presents the case of a 41-year-old office worker, whose job involved client services. While attending a very aggressive customer she developed solid stress that resulted in symptoms of the central nervous system (headache, speech disturbances). During her hospitalisation at the neurological unit ischemic stroke with transient mixed type aphasia was diagnosed. Magnetic resonance imaging (MRI) scan of the head revealed subacute ischemia. After an analysis of the accident circumstances, the employer’s post accidental team decided that ischemic stroke had been an accident at work, because it was a sudden incident due to an external cause inducing work-related traumatic stroke. As a primary cause tough stress and emotional strain due to the situation developed while attending the customer were acknowledged. During control medical check up after 5 months the patient was found to be fit for work, so she could return to work. However, it should be noted that such a check up examination of subjects returning to work after stroke must be holistic, including the evaluation of job predispositions and health education aimed at secondary prevention of heart and vascular diseases with special reference to their risk factors.en
dc.description.sponsorshipIMP 10.21/2014 pt. „Ocena potencjału badań profilaktycznych z zakresu medycyny pracy do zwiększenia skutecznej prewencji cukrzycy i nadciśnienia tętniczego w Polsce”en
dc.language.isoplen
dc.relation.urlhttp://www.journalssystem.com/medpr/Dobre-praktyki-w-opiece-profilaktycznej-nad-pracujacymi-Kwalifikacja-udaru-mozgu-jako-wypadku-przy-pracy-Potrzeba-prowadzenia-prewencji-wtornej-u-osob-powracajacych-do-pracy-po-ostrych-incydentach-mozgowo-naczyniowych,58335,0,2.htmlen
dc.relation.urlhttp://medpr.imp.lodz.pl/Dobre-praktyki-w-opiece-profilaktycznej-nad-pracujacymi-kwalifikacja-udaru-mozgu-jako-wypadku-przy-pracy-Potrzeba-prowadzenia-prewencji-wtornej-u-osob-powracajacych-do-pracy-po-ostrych-incydentach-mozgowo-naczyniowych,58335,0,1.htmlen
dc.rightsArchived with thanks to Medycyna Pracyen
dc.subjectStrokeen
dc.subjectWork-related accidenten
dc.subjectPsychosocial risk factorsen
dc.subjectStressen
dc.subjectWorken
dc.subjectJob strainen
dc.titleGood practice in occupational health services – Certification of stroke as an accident at work. Need for secondary prevention in people returning to work after acute cerebrovascular eventspl
dc.title.alternativeDOBRE PRAKTYKI W OPIECE PROFILAKTYCZNEJ NAD PRACUJĄCYMI – KWALIFIKACJA UDARU MÓZGU JAKO WYPADKU PRZY PRACY. POTRZEBA PROWADZENIA PREWENCJI WTÓRNEJ U OSÓB POWRACAJĄCYCH DO PRACY PO OSTRYCH INCYDENTACH MÓZGOWO-NACZYNIOWYCHen
dc.typeArticleen
dc.contributor.departmentNofer Institute of Occupational Medicine, Lodz, Polanden
dc.identifier.journalMedycyna Pracyen
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