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Employees Diagnosed with Cancer: Current Perspectives and Future Directions from an Employer’s Point of View

Michiel Greidanus & Sietske Tamminga

Coronel Institute of Occupational Health, Amsterdam UMC, location AMC, Amsterdam, The Netherlands

Webinar I Work Wellness and Disability Prevention Institute | February 2019

Acknowledgement


No conflict of interest to declare

Dr. Marije WolversProf. Monique Frings-DresenDr. Angela de BoerDrs. AnneClaire ZamanDrs. Inge BraspenningDrs. Marja Berkhout

Prof. Angelique de RijkDr. Corine Tiedtke

Prof. Bernadette Dierckx de Casterlé

1. Brief introduction: employees diagnosed

with cancer & employer’s point of view

2. Return to work journey in case of cancer

• Recommendation for employers and health care professionals

3. Information sources & best practices

Content


Healthy person Patient


Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: https://www.ted.com/talks/sarah_donnelly_how_work_kept_me_going_during_my_cancer_treatment#t-94707

Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: Cancer Research UK

Male cases

Female cases

Working age

Average number new cases per year

• Increasing survival rates

• More focus on quality of life,

psychological and social outcomes

labour participation

• Work gives structure, social interaction and financial security

Cancer survivorship

Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: Tamminga et al. 2018

• Key stakeholder

• Guidance for employee:

Stay at work

Return to work (RTW)

Employer

Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: Greidanus et al. 2018

Return to work journey in 4 fases

Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: Tiedtke et al. 2017 & Greidanus et al. 2018

Disclosure Treatment RTW planning RTW


In practice



Return to work journey in 4 fasesDisclosure

Treatment RTW planning RTW

Disclosure of the employee’s illnessto the employer


Return to work journey in 4 fasesDisclosure

TreatmentRTW planning RTW

Sick leave due to cancer treatment


Return to work journey in 4 fasesDisclosure Treatment

RTW planningRTW

Concrete plans and preparations forRTW


Return to work journey in 4 fasesDisclosure Treatment RTW planning

RTW

Period of RTW up until six months after a stable work situation is reached



In practice



This presentation

DisclosureTreatment RTW planning RTW

Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: Tiedtke et al. 2011



Fact: different types of experience

Examples:

‘Can I ever work on my former level?’

‘We should not make it bigger than it is, I am the same person as I was yesterday.’

‘Other things are important at the moment, work is not really on my mind.’



Employer

Dont’s:

• Completly be guided by previous

experiences

• Most common pitfall: “Go home and

come back when you feel ready…”



Employer: tips

• Assess the need for emotional support:

Do not make assumptions

• Ask about the role of work: “What is the

role and importance of work in your life

right now?”

Prevent misconceptions


Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: Morrison et al. 2015, Pryce et al. 2007

Health care professional: tips

• RTW advice influences actual RTW

• If possible, include patient’s work

situation in shared decision making

process

Disclosure



Health care professional: tips

• Ask for the patient’s work situation???

• ??

Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: https://www.ted.com/talks/sarah_donnelly_how_work_kept_me_going_during_my_cancer_treatment#t-94707

Disclosure



Employee & employer

Results of our study showed:

• Discrepancy perspectives & needs

both stakeholders

• Employer one step ahead

• Effective employee – employer

collaboration at risk

Disclosure



Employer tips:

• Pay attention to work-related topics

and personal matters

• Prevent wearing off effect of attention

and support

• Take unpredictability into account

Disclosure


Health care professional tips:Do:

• Discuss possible harm or benefits of

work during cancer treatment

Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: Peterson et al. 2017

Disclosure Treatment

RTWplanningRTW



RTWplanningRTW



RTWplanningRTW


Employee

Facts:

• May be insecure about RTW

• Physical changes may be invisible

Do:

• Discuss gradual RTW, with temporarily

accommodations -> it may enhance

successful RTW


RTWplanningRTW


Employer: tips

• Make a flexible RTW plan

• Make no assumptions, but listen to

preferences & needs employee

• Offer work accommodations if possible

• Consult specialised services


RTWplanningRTW

Health care professional tips:

• Coordination between different stakeholders

is important to provide necessary RTW

support

If allowed by local regulations!

• Refer to specialized occupational rehabilitation

Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: Stergiou-Kita et al. 2016, Peterson et al. 2016

Disclosure Treatment RTW planning

RTW



RTW

Webinar I Work Wellness and Disability Prevention Institute | February 2019 Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: Greidanus et al. 2018

Employer tips:

• Evaluate regularly

• Show appreciation

• If possible/needed adapt

workplace/working times

• Be aware of possible long-term effects

Plan appointment one year post-RTW


RTW

Health care professional tips:

• Discuss the cancer survivor’s work

situation

Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: Morrison et al. 2015, Pryce et al. 2007

• Satisfactory and early communication

prevents misconceptions

• Assumptions are the biggest pitfall

• Collaboration between employee,

employer and health care professionals

is a prerequisite for successful RTW.


Information sources & best practices


Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: https://www.macmillan.org.uk/

Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: https://osha.europa.eu/en/tools-and-publications/publications/advice-employers-return-work-workers-cancer/view

Webinar I Work Wellness and Disability Prevention Institute | February 2019 Reference: https://www.cancerandwork.ca/


• With online, easy accessible information

MiLES project



• Tailored per RTW phase

MiLES project




• Consisting of to-the-point information

MiLES project




• Consisting of to-the-point information

• And interactive communication video’s

MiLES project

Webinar I Work Wellness and Disability Prevention Institute | February

DOI: 10.1007/s11764-017-0626-z

DOI: 10.1002/pon.4514

DOI: 10.1007/s10926-018-9800-z

DOI: 10.1007/s10926-018-9802-x

https://dx.doi.org/10.1007/s11764-017-0626-z

https://doi.org/10.1002/pon.4514

https://doi.org/10.1007/s10926-018-9800-z

https://doi.org/10.1007/s10926-018-9802-x

Thank you for your attention

Michiel Greidanus & Sietske Tamminga

[email protected] [email protected]


employees diagnosed with cancer: current … › wp-content › uploads › ...2019/02/01 ·...

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