Table 1
Work-oriented assessment for patient with recurrent head and neck cancer.
| ICF DOMAIN | HINDERING/PROMOTING FACTORS FOR PARTICIPATION |
|---|---|
| Health Condition (disorder or disease) | Recurrent head and neck cancer. |
| Body Structure and Functions | Permanent functional limitations due to surgery and re-irradiation: Nerve paralysis (eyelid closure, mouth skew). Tinnitus. Hearing loss. Restricted function shoulder girdle, neck and arm. Fragile skin in irradiated area. Dry mucous membranes in head and neck region. |
| Personal Factors | Moderately fluent in the Dutch language. Limited knowledge of Dutch social security legislation. Coping: grateful, optimistic, downplaying symptoms, socially desirable behavior. Work-related views: wants to keep his job but doubts feasibility, currently focused on health recovery, limited insight into potential return-to-work barriers. |
| Environmental Factors (work) | Elements of heavy physical work. Frequent overhand pruning. Dust exposure (risk due to impaired eyelid closure and damaged mucosa). Risk of traumatic injury to irradiated skin. Ultraviolet load on skin from outdoor work. Employer expects permanent disability pension. |
| Environmental Factors (private) | Wife runs a busy own business. Small social network. |