Feuerstein Work and Cancer Survivors

1. Auflage 2009
ISBN: 978-0-387-72041-8
Verlag: Springer
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 350 Seiten

Cancer survivors are returning to the workplace in higher numbers than ever before. This is a positive outcome of the 'war on cancer', however, many of these cancer survivors face the possibility of illness- or treatment-related complications; employer discrimination or harassment; and other serious concerns. Cancer Survivorship and Work reviews many of the issues relevant to cancer survivors in the workplace from the survivors', employers', and global perspectives. This interdisciplinary and international volume brings together experts in fields as varied as epidemiology, economics, rehabilitation, psychology, human factors and ergonomics; law, and public policy to create a unique, up-to-date reference of what is currently known and what needs to be considered in the future. With this knowledge, challenges faced by this growing population can be better addressed by health care providers, employers, survivors and their families.

Michael Feuerstein, Ph.D., is Professor of Public Health in the Departments of Medical and Clinical Psychology and Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, F. Edward Hebert School of Medicine, Bethesda, Maryland. He is also Director of the Clinical Psychology Doctoral Program at that institution. In addition, he is Clinical Professor in the Department of Psychiatry, Division of Behavioral Medicine, at Georgetown University School of Medicine, Washington, DC. Dr. Feuerstein is editor-in-chief of Journal of Occupational Rehabilitation and Journal of Cancer Survivorship, as well as editor of Handbook of Cancer Survivorship. He is a Fellow of the Academy of Behavioral Medicine Research, the American Psychological Association, and the Society of Behavioral Medicine, and a Member of the Human Factors and Ergonomics Society, the Association for Advancement of Behavioral Therapy, the International Association for the Study of Pain, and the New York Academy of Sciences.

Autoren/Hrsg.

Feuerstein, Michael

Inhaltsverzeichnis

1;Work and Cancer Survivors;2
1.1;Foreword;6
1.2;Preface;8
1.3;Acknowledgments;15
1.4;Contents;17
1.5;Contributors;19
1.6;Section I: Defining the Problem;22
1.6.1;Epidemiology;23
1.6.1.1;Introduction;23
1.6.1.2;The Scale of Cancer Survivorship;24
1.6.1.3;The Impact of Cancer on Paid Work;26
1.6.1.3.1;The American Pioneers;26
1.6.1.3.2;The Literature Reviews of Studies;27
1.6.1.4;A Thematic Review of the Literature;29
1.6.1.4.1;Most Cancer Survivors Are Able to Return to Work;29
1.6.1.4.2;The Importance of Cancer Site to Return to Work;30
1.6.1.4.3;The Impact of Treatment and Symptom Burden Matters;31
1.6.1.4.4;Educational Attainment and Occupational Status also Matter;32
1.6.1.4.5;The Health Status and Extent of Work Limitations Among Cancer Survivors;34
1.6.1.4.6;Psycho-social Factors at Work Can Help Survivors to Return to Work;37
1.6.1.4.7;The Role of the Medical Profession;38
1.6.1.4.8;And Finally, Retirement;39
1.6.1.5;Gaps in Our Knowledge;40
1.6.1.6;References;41
1.6.2;Economic Burden;44
1.6.2.1;Introduction;44
1.6.2.2;Cancer Morbidity and Employment: A Descriptive Overview by Cancer Status;45
1.6.2.3;Cancer Survivors: Has There Been a Shift in Morbidity Employment Experience as Taken from the Case of Breast Cancer?;69
1.6.2.4;Employment Among Cancer Survivors: Morbidity Effects;73
1.6.2.4.1;Work Limitations and Inability to Work;77
1.6.2.4.2;Employment Changes Post Diagnosis;77
1.6.2.5;Cancer and Employment Rates: The Combined Impact of Mortality and Morbidity;81
1.6.2.6;The Cost of Cancer-Related Productivity;84
1.6.2.6.1;The Case of Colon Cancer;84
1.6.2.7;References;89
1.6.3;Employers’ and Survivors’ Perspectives;91
1.6.3.1;Introduction;91
1.6.3.2;Employers’ Attitudes Regarding People with Chronic Illness and Disability;93
1.6.3.2.1;Productivity Concerns;95
1.6.3.2.2;Barriers to Hiring and Retention;96
1.6.3.2.3;Employer Strategies;96
1.6.3.3;Cancer Survivors’ Perspectives;99
1.6.3.3.1;Factors Influencing Individual Decisions to Work After a Cancer Diagnosis;99
1.6.3.3.1.1;Demographic Characteristics;100
1.6.3.3.1.2;Financial Circumstances;100
1.6.3.3.1.3;Physical Conditions;101
1.6.3.3.1.4;Individual Accomplishment;101
1.6.3.3.2;The Main Obstacles to Returning to Paid Work;102
1.6.3.3.2.1;Workplace Accommodations;102
1.6.3.3.3;Physician or Health Care Provider Input on Matters Related to Work;103
1.6.3.3.4;Role of Employer Attitudes and Actions;104
1.6.3.3.5;Cancer Survivors’ Relationship with Their Employer;104
1.6.3.4;Conclusion;105
1.6.3.5;References;106
1.7;Section II: Fundamentals of Work and Chronic Illness;108
1.7.1;Work Disability: It is not just the ‘‘lesion’’;109
1.7.1.1;Introduction;109
1.7.1.2;You Say: ‘‘Disability’’?;111
1.7.1.3;Work Disability as a Specific Paradigm;111
1.7.1.4;Modeling Work Disability;113
1.7.1.5;Various Diseases and Work Disability;115
1.7.1.6;The Case of Cancer Survivors;115
1.7.1.7;Conclusion;117
1.7.1.8;References;118
1.7.2;The Meaning of Work;120
1.7.2.1;Introduction;120
1.7.2.2;The Meaning of Surviving Cancer;121
1.7.2.3;The Meaning of Work;123
1.7.2.4;Developmental Aspects;126
1.7.2.5;Spectrum of Severity of Work Problems;128
1.7.2.6;Disease-Specific Work Problems;130
1.7.2.7;Therapeutic Approaches;131
1.7.2.8;Directions for Future Research;132
1.7.2.9;References;132
1.8;Section III: Factors Affecting Work;135
1.8.1;Fatigue, Pain, and Physical Function;136
1.8.1.1;Introduction;136
1.8.1.2;Symptom Burden in Cancer Survivors;137
1.8.1.2.1;Cancer-Related Fatigue;138
1.8.1.2.2;Cancer-Related Pain;139
1.8.1.2.3;Physical Function;140
1.8.1.3;Work and Symptom Burden;143
1.8.1.3.1;Work-Related Factors;144
1.8.1.3.1.1;Cancer Survivors;144
1.8.1.3.1.2;Other Chronic Illnesses;144
1.8.1.3.1.3;Occupational Injuries;145
1.8.1.3.1.4;Conceptual Model of Physical Load, Physical Capacity, Pain and Work Disability;145
1.8.1.4;Interventions;149
1.8.1.4.1;Work System Interventions: Potential Application of Ergonomics;149
1.8.1.5;Conclusions;152
1.8.1.6;References;153
1.8.2;Cognitive Limitations;159
1.8.2.1;Introduction;159
1.8.2.1.1;Assessment of Cognitive Symptoms: The Role of the Neuropsychological Evaluation;160
1.8.2.1.2;The Impact of Cognitive Symptoms on Work;161
1.8.2.1.3;Management of Cognitive Symptoms: Limiting the Impact of Cognitive Impairments on Work;166
1.8.2.1.4;Non-Pharmacologic Strategies: Individualized, Focused Cognitive Compensatory Interventions;166
1.8.2.1.5;Pharmacologic Management of Cognitive Impairment;169
1.8.2.1.6;Future Directions;170
1.8.2.2;Refences;172
1.8.3;Young Survivors of Childhood Cancer;175
1.8.3.1;Introduction;175
1.8.3.1.1;Late Effects;175
1.8.3.1.2;Importance of Work for Young Survivors of Childhood Cancer;176
1.8.3.2;Unemployment in Young Survivors of Childhood Cancer: Meta-analysis;177
1.8.3.2.1;Method of Literature Search of the Meta-analysis;178
1.8.3.2.2;Results of the Meta-analysis;178
1.8.3.2.3;Young Survivors of Blood Cancers;180
1.8.3.2.4;Young Survivors of CNS and Brain Tumors;181
1.8.3.2.5;Young Survivors of Bone Cancers;182
1.8.3.2.6;Young Survivors of Other Cancers;183
1.8.3.2.7;Developments Since the Meta-analysis;184
1.8.3.2.8;The Effect of Prognostic Factors on Employment;185
1.8.3.3;Educational Outcomes Among Survivors of Childhood Cancer and the Impact on Work;186
1.8.3.4;Interventions to Improve Employment;188
1.8.3.5;Future Research;189
1.8.3.5.1;What Interventions Could We Develop?;189
1.8.3.5.2;What Outcomes Are Important?;193
1.8.3.5.3;Other Issues in Future Research;194
1.8.3.6;Conclusion;195
1.8.3.7;References;196
1.9;Section IV: Primary and Secondary Prevention;201
1.9.1;Primary and Occupational Health Care Providers;202
1.9.1.1;Introduction;202
1.9.1.2;When to Provide Help for Problematic Return to Work;206
1.9.1.3;How to Assess Which Survivors Need Most Help?;208
1.9.1.4;What Interventions Should the Occupational Physician Carry Out?;211
1.9.1.4.1;Recommendation for Return to Work;212
1.9.1.4.2;Work Accommodations;213
1.9.1.4.3;Managing Fatigue and Other Disease- or Treatment-Related Symptoms;214
1.9.1.4.4;Involvement of Supervisors and Colleagues and Disclosure of Diagnosis;214
1.9.1.4.5;Occupational Cancer;214
1.9.1.5;Physician and Fitness for Work Dilemmas;215
1.9.1.6;How Well Are Occupational Physicians Doing?;216
1.9.1.7;Conclusions and Directions for the Future;217
1.9.1.8;References;218
1.9.2;Rehabilitation;221
1.9.2.1;Introduction;221
1.9.2.2;Cancer, Residual Symptoms and Disability;222
1.9.2.3;The Nature of Disability;224
1.9.2.4;The Nature of Rehabilitation;226
1.9.2.5;Exercise and Rehabilitation;228
1.9.2.6;Exercise and Disease Activity: Curative Rehabilitation;229
1.9.2.7;Exercise, Strength and Function: Restorative Rehabilitation;230
1.9.2.8;The Place of Exercise Training in Occupational Rehabilitation of the Cancer Survivor;230
1.9.2.9;Targeting Risk Factors for Disability in Cancer Survivors: Compensatory and Accommodative Interventions;232
1.9.2.10;Compensatory and Accommodative Interventions in the Workplace;234
1.9.2.11;Conclusions;235
1.9.2.12;References;237
1.9.3;Workplace Accommodations;243
1.9.3.1;Introduction;243
1.9.3.2;Reasonable Accommodations in the Workplace;244
1.9.3.3;The Accommodation Process;248
1.9.3.3.1;A Sample Accommodation Request Letter;249
1.9.3.3.2;Primary Considerations;250
1.9.3.3.3;Secondary Considerations;251
1.9.3.4;Accommodations for Cancer Survivors;252
1.9.3.4.1;Limitations Related to Ability to Communicate;254
1.9.3.4.2;Limitations Related to Vision;255
1.9.3.4.3;Limitations Related to Cognitive Abilities;255
1.9.3.4.4;Limitations Related to Physical Stamina;257
1.9.3.4.5;Limitations Related to Pain Symptoms;257
1.9.3.4.6;Limitations Related to Stress and Depression;257
1.9.3.5;Accommodating the Cancer Survivor: Case Examples;258
1.9.3.6;Conclusion;259
1.9.3.7;Appendix: Resources for Job Accommodation Ideas and Technical Assistance;260
1.9.3.8;References;263
1.9.4;Individuals with Cancer in the Workforce and Their Federal Rights;265
1.9.4.1;Introduction;265
1.9.4.2;Key Issues Facing Persons with Cancer;266
1.9.4.2.1;Personal and Family Experiences;266
1.9.4.2.2;Factors Related to Return to Work;267
1.9.4.2.2.1;Work-Related Factors;267
1.9.4.2.2.2;Disease and Treatment-Related Factors;268
1.9.4.2.2.3;Person-Related Factors;268
1.9.4.3;Federal Protections for the Employee with Cancer;269
1.9.4.3.1;The ADA;270
1.9.4.3.2;Other Federal Protections;271
1.9.4.3.3;Privacy and Confidentiality;272
1.9.4.4;The Story of Patricia Garrett;273
1.9.4.4.1;State Sovereign Immunity;273
1.9.4.4.2;Qualified Individual with a Disability;274
1.9.4.5;Individuals with Cancer in Other Courts;275
1.9.4.6;Best Practices and Future Initiatives;277
1.9.4.6.1;Model Programs and Services;278
1.9.4.6.2;ADA Amendments Act of 2008 and the Future;279
1.9.4.7;Recommendations and Closing Remarks;281
1.9.4.8;References;282
1.10;Section V: Global View;287
1.10.1;International Efforts: Perspectives, Policies, and Programs;288
1.10.1.1;Introduction;288
1.10.1.1.1;Factors Contributing to Return to Work;289
1.10.1.1.1.1;Developed Countries;289
1.10.1.1.1.2;Developing Countries;289
1.10.1.2;Socio-environmental Impacts on Cancer Survivors and Return to Work;293
1.10.1.2.1;Work Disabilities and the Role of Social Insurance;293
1.10.1.2.2;Cancer Survivors as Individuals with Disabilities;293
1.10.1.2.3;Supporting Return to Work Efforts;297
1.10.1.2.4;Legislation;300
1.10.1.2.5;Discrimination;300
1.10.1.2.6;Cultural Perceptions;301
1.10.1.3;Return to Work Programs to Support Cancer Survivors;304
1.10.1.3.1;Association of European Cancer Leagues;304
1.10.1.3.2;Cancerbackup (British Association of Cancer United Patients - and Their Families and Friends);306
1.10.1.3.3;Danish Cancer Society;312
1.10.1.3.4;United Kingdom’s Breast Cancer Care (BCC);313
1.10.1.3.5;Cancer Council Australia;314
1.10.1.3.6;Canada;315
1.10.1.3.6.1;Willow Breast Cancer Support Canada;315
1.10.1.3.6.2;Germany;316
1.10.1.4;Future Directions;317
1.10.1.5;References;320
1.11;Section VI: Future Directions;323
1.11.1;Future Research, Practice, and Policy;324
1.11.1.1;Some Questions that Await Answers;325
1.11.1.2;Models of Work Disability;326
1.11.1.3;Optimal Work;327
1.11.1.4;The Economic Burden;327
1.11.1.5;Employer’s and Survivor’s Perspectives;327
1.11.1.6;The Meaning of Work in Cancer Survivors;328
1.11.1.7;Fatigue, Pain, and Functional Impairment;328
1.11.1.8;Cognitive Limitations;328
1.11.1.9;Survivors of Childhood Cancer;329
1.11.1.10;Primary and Occupational Health Care;329
1.11.1.11;Work-Related Rehabilitation;329
1.11.1.12;Workplace Accommodations;330
1.11.1.13;International Activities;330
1.11.1.14;Legal, Regulatory, and Policy Matters;330
1.11.1.15;Evidence-Based Policy;331
1.11.1.15.1;How Is Evidence Translated into Policy?;331
1.11.1.15.2;An Interactive Process that Requires Patience and Persistence;334
1.11.1.16;Conclusions;334
1.11.1.17;References;335
1.12;Index;337