Evaluation of fitness for work in a Case with COPD

Today, approximately 25% of the working populations have at least one chronic disease, and so the delineation “fitness for work” is quite important. The process for the evaluation of fitness for work is evaluated in this paper, alongside a detailed work analysis and a further functional evaluation of an employee who presented to our work and occupational illnesses clinic with a diagnosis of chronic obstructive pulmonary disease (COPD). A 39-year-old male with the diagnosis of COPD, who was employed at a rim factory, was subjected to a cardiopulmonary exercise test, and a work analysis revealed that the energy requirement of the work was above the acceptable limits for the case. The smoke, dust and metal identified in the environment were thought to contribute to the exacerbation and progression of COPD. Modifications to the patients work to suit his cardiopulmonary capacity, and reducing the defined risks was suggested. Evaluating work compatibility is an important area of study requiring the collaboration of many disciplines, and occupational disease specialists in particular, with the am being to protect the health of the workforce and the continuity of works.

KOAH Tanýlý Bir Olguda Ýþe Uygunluk Deðerlendirmesi

Günümüzde çalýþan nüfusun, yaklaþýk %25’inde en az bir kronik hastalýk vardýr. Bu nedenle “iþe uygunluk kavramý” oldukça önem taþýmaktadýr. Bu yazýda kronik obsrüktif akciðer hastalýðý (KOAH) tanýsý ile iþ ve meslek hastalýklarý kliniðimize baþvuran bir çalýþanýn, iþe uygunluk süreci; detaylý iþ analizi ve ileri fonksiyonel inceleme ile birlikte deðerlendirilmiþtir. Ýki yýldýr KOAH tanýsý olan 39 yaþýnda erkek, jant fabrikasýnda çalýþmaktaydý. Yapýlan kardiyopulmoner egzersiz testi ve iþ analizi sonucunda yaptýðý iþin enerji gereksiniminin, olgunun kabul edilebilir limit deðerlerinin üzerinde olduðu belirlendi. Ortamdaki toz ve metal dumanýnýn da KOAH alevlenmesine ve progresyonuna katkýsý olabileceði düþünüldü. Tanýmlanan risklerden uzak kalacak ve kardiopulmoner kapasitesine uygun þekilde iþ modifikasyonu yapýlmasý önerildi. Ýþe uygunluk deðerlendirmesi, iþ ve meslek hastalýklarý uzmanlarý baþta olmak üzere pek çok disiplinin bir arada çalýþmasýnýn gerektiði, çalýþanýn saðlýðý ve iþin devamýný korumayý amaçlayan önemli bir alandýr.