Diabetes Mellitus
Common Functional Limitations
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Physical stamina/endurance
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Standing
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Walking
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Motor coordination
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Heavy exertion
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Tactile discrimination
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Finger dexterity
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Handling
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Grasping
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Manual dexterity
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Tolerance to extremes in temperature
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Tolerance to long hours without rest/food intake
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Tolerance to occupations that pose unusual injury hazards (cuts, burns, skin injuries)
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Concentration
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Visual acuity
Vocational Impediments
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Do the specific functional limitations prevent the person from performing the jobs performed in the past?
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Do the specific functional limitations restrict the type of jobs the person might qualify for in the future?
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Will a need for rest during the workday, level amounts of physical exertion, and regular meal times affect the person's chances for employment?
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Consider the client's degree of control of the diabetic condition, including eyes, and circulatory system.
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Ultimate control/adjustment to this disease involves:
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Proper knowledge of diet and self-care (care of feet, syringe use, hygiene).
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Understanding and adherence to proper diet and exercise.
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Proper usage of medications.
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Management of complications.
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The diabetic client who does not have good knowledge of the above factors, and does not illustrate established control would be an extremely poor candidate for successful rehabilitation.
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Vocational goals or occupations requiring irregular work hours or long work periods without rest should be avoided.
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