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Understanding the Process and Challenges for Return-to-Work Post-Hematopoietic Cell Transplantation from a
Jaleel Mohammed1,2, Anne Gonzales2,3, Hadeel R Bakhsh4
1Lincolnshire Community Health Services NHS Trust, Lincoln LN5 7JH, UK.
Occupational Therapy International
|July 28, 2021
Summary
Adapting musculoskeletal return to work (RTW) programs can optimize RTW for hematopoietic cell transplant patients. A structured assessment using functional capacity and job evaluation aids safe reintegration into employment.
Area of Science:
- Rehabilitation Medicine
- Oncology
- Occupational Health
Background:
- Hematopoietic cell transplantation (HCT) patients often face challenges returning to work.
- Existing return to work (RTW) programs lack universal structure for HCT survivors.
- Musculoskeletal rehabilitation settings have established RTW assessment models.
Purpose of the Study:
- To propose an optimized RTW program for HCT patients by adapting musculoskeletal rehabilitation principles.
- To provide healthcare professionals with a structured framework for assessing and monitoring RTW for HCT survivors.
- To facilitate safe and socially integrated return to employment for HCT patients.
Main Methods:
- A narrative approach was used, drawing evidence from musculoskeletal RTW assessment literature.
- Systematic database searches (PubMed, CINAHL, AMED, SCOPUS, Cochrane) were conducted.
- Keywords included RTW, functional restoration, HCT, bone marrow transplant, stem cell transplant, and musculoskeletal functional assessment.
Main Results:
- A structured RTW assessment and monitoring program is outlined.
- The program utilizes functional capacity and job evaluation for HCT patients.
- An individualized approach is emphasized, aligning with the ICF model.
Conclusions:
- Adapting existing RTW programs can enhance the return-to-work process for HCT patients.
- A structured, individualized assessment is crucial for safe and effective RTW.
- The proposed model reduces guesswork for healthcare professionals and supports patient reintegration.
