Understanding the Process and Challenges for Return-to-Work Post-Hematopoietic Cell Transplantation from a Musculoskeletal Perspective: A Narrative Review

The current paper seeks to inform healthcare professionals on how adapting various components of return to work (RTW) programs that are already in use by other musculoskeletal rehabilitation settings can help optimize return to work process for patients with or without musculoskeletal manifestations...

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Main Authors: Jaleel Mohammed, Anne Gonzales, Hadeel R. Bakhsh, Volkova Alisa Georgievna, Jayanti Rai, Bindu Kancharla, Shahrukh K. Hashmi
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Occupational Therapy International
Online Access:http://dx.doi.org/10.1155/2021/5568513
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author Jaleel Mohammed
Anne Gonzales
Hadeel R. Bakhsh
Volkova Alisa Georgievna
Jayanti Rai
Bindu Kancharla
Shahrukh K. Hashmi
author_facet Jaleel Mohammed
Anne Gonzales
Hadeel R. Bakhsh
Volkova Alisa Georgievna
Jayanti Rai
Bindu Kancharla
Shahrukh K. Hashmi
author_sort Jaleel Mohammed
collection DOAJ
description The current paper seeks to inform healthcare professionals on how adapting various components of return to work (RTW) programs that are already in use by other musculoskeletal rehabilitation settings can help optimize return to work process for patients with or without musculoskeletal manifestations, posthematopoietic cell transplantation. Since there is no universally agreed RTW structure for hematopoietic cell transplant patients, a narrative approach has been taken utilizing evidence from the existing musculoskeletal return to work assessment publications to help draw parallel for the hematopoietic cell transplant patients. Databases were searched including PUBMED, CINHAL, AMED, SCOPUS, and Cochrane using keywords RTW, functional restoration program, hematopoietic cell transplant, bone marrow transplant, stem cell transplant, and musculoskeletal functional assessment. The authors have managed to outline and propose a structured RTW assessment and monitoring program which can aid in getting patients back to employment by utilizing the functional capacity and job evaluation to help hematopoietic cell transplantation patients reintegrate socially. Patients undergoing hematopoietic cell transplant require additional support and a robust assessment system to allow safe RTW. The proposed model of RTW assessment can prove to be beneficial in helping patients return to work safely. Clinical Significance. To acknowledge the individuality in functional limitation is important in determining not only the rehab needs but also the RTW capabilities. The proposed RTW plan not only promotes an individualized approach to patients but also provides a structure for return to work assessments for hematopoietic cell transplantation patients, thus, eliminating the need for guess work by healthcare professionals. In line with the International Classification of Functioning, Disability, and Health (ICF) recommendations, a RTW assessment combined with a job evaluation helps healthcare professionals and stakeholders to understand the unique challenges and strengths of a patient and thereby design an individualized therapy approach.
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spelling doaj-art-c3afc59f152f457cb3e193c715e405362025-02-03T06:08:34ZengWileyOccupational Therapy International0966-79031557-07032021-01-01202110.1155/2021/55685135568513Understanding the Process and Challenges for Return-to-Work Post-Hematopoietic Cell Transplantation from a Musculoskeletal Perspective: A Narrative ReviewJaleel Mohammed0Anne Gonzales1Hadeel R. Bakhsh2Volkova Alisa Georgievna3Jayanti Rai4Bindu Kancharla5Shahrukh K. Hashmi6Lincolnshire Community Health Services NHS Trust, Lincoln LN5 7JH, UKRehabilitation Association for Hematopoietic Cell Transplantation, Gloucester, UKDepartment of Rehabilitation, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi ArabiaRehabilitation Association for Hematopoietic Cell Transplantation, Gloucester, UKRehabilitation Association for Hematopoietic Cell Transplantation, Gloucester, UKRehabilitation Association for Hematopoietic Cell Transplantation, Gloucester, UKRehabilitation Association for Hematopoietic Cell Transplantation, Gloucester, UKThe current paper seeks to inform healthcare professionals on how adapting various components of return to work (RTW) programs that are already in use by other musculoskeletal rehabilitation settings can help optimize return to work process for patients with or without musculoskeletal manifestations, posthematopoietic cell transplantation. Since there is no universally agreed RTW structure for hematopoietic cell transplant patients, a narrative approach has been taken utilizing evidence from the existing musculoskeletal return to work assessment publications to help draw parallel for the hematopoietic cell transplant patients. Databases were searched including PUBMED, CINHAL, AMED, SCOPUS, and Cochrane using keywords RTW, functional restoration program, hematopoietic cell transplant, bone marrow transplant, stem cell transplant, and musculoskeletal functional assessment. The authors have managed to outline and propose a structured RTW assessment and monitoring program which can aid in getting patients back to employment by utilizing the functional capacity and job evaluation to help hematopoietic cell transplantation patients reintegrate socially. Patients undergoing hematopoietic cell transplant require additional support and a robust assessment system to allow safe RTW. The proposed model of RTW assessment can prove to be beneficial in helping patients return to work safely. Clinical Significance. To acknowledge the individuality in functional limitation is important in determining not only the rehab needs but also the RTW capabilities. The proposed RTW plan not only promotes an individualized approach to patients but also provides a structure for return to work assessments for hematopoietic cell transplantation patients, thus, eliminating the need for guess work by healthcare professionals. In line with the International Classification of Functioning, Disability, and Health (ICF) recommendations, a RTW assessment combined with a job evaluation helps healthcare professionals and stakeholders to understand the unique challenges and strengths of a patient and thereby design an individualized therapy approach.http://dx.doi.org/10.1155/2021/5568513
spellingShingle Jaleel Mohammed
Anne Gonzales
Hadeel R. Bakhsh
Volkova Alisa Georgievna
Jayanti Rai
Bindu Kancharla
Shahrukh K. Hashmi
Understanding the Process and Challenges for Return-to-Work Post-Hematopoietic Cell Transplantation from a Musculoskeletal Perspective: A Narrative Review
Occupational Therapy International
title Understanding the Process and Challenges for Return-to-Work Post-Hematopoietic Cell Transplantation from a Musculoskeletal Perspective: A Narrative Review
title_full Understanding the Process and Challenges for Return-to-Work Post-Hematopoietic Cell Transplantation from a Musculoskeletal Perspective: A Narrative Review
title_fullStr Understanding the Process and Challenges for Return-to-Work Post-Hematopoietic Cell Transplantation from a Musculoskeletal Perspective: A Narrative Review
title_full_unstemmed Understanding the Process and Challenges for Return-to-Work Post-Hematopoietic Cell Transplantation from a Musculoskeletal Perspective: A Narrative Review
title_short Understanding the Process and Challenges for Return-to-Work Post-Hematopoietic Cell Transplantation from a Musculoskeletal Perspective: A Narrative Review
title_sort understanding the process and challenges for return to work post hematopoietic cell transplantation from a musculoskeletal perspective a narrative review
url http://dx.doi.org/10.1155/2021/5568513
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