Great source : JAN on the Web: Job Accomodations Network : http://www.jan.wvu.edu/ is an international toll-free consulting service that provides information about job accommodations and the employability of people with disabilities. JAN also provides information regarding the Americans with Disabilities Act (ADA). **JAN: SOAR http://www.jan.wvu.edu/soar/index.html is a searchable online accommodations resource. They recently added information on PD. Here are the sections dealing specifically with job accomodations : Accommodating People With Parkinson's Disease Job Accommodation Network A Service of the U.S. DOL Office of Disability Employment Policy Job Accommodation Network West Virginia University PO Box 6080 Morgantown, WV 26506-6080 800-526-7234 in the US (Voice or TTY) Internet: http://www.jan.wvu.edu ACCOMMODATING PEOPLE WITH PARKINSON'S DISEASE According to the National Parkinson's Foundation it is estimated that there are up to 1.5 million Americans affected by Parkinson's Disease (PD), more persons than those suffering from Multiple Sclerosis and Muscular Dystrophy combined. Although 15% of PD patients are diagnosed before age 50, PD is generally considered a disease that targets older adults. Parkinson's disease affects one of every 100 persons over the age of 60. Today, many people with PD are living and working with PD. As a result, employers are seeing an increase in individuals with PD among their employees. This, coupled with the requirements of the Americans with Disabilities Act (ADA), shows why knowing about workplace accommodations for people with PD is important. When considering accommodations for people with PD, the accommodation process must be conducted on a case-by-case basis. Symptoms caused by PD vary so when determining effective accommodations the person's individual abilities and limitations should be considered and problematic job tasks must be identified. Therefore, the person with PD should be involved in the accommodation process. Not all people with PD will need accommodations to perform their jobs and many others may need only a few accommodations. For those who need accommodation, the following pages provide basic information about common limitations, symptoms, useful questions to consider, and accommodation possibilities. The following is only a sample of possibilities to consider; numerous other solutions and considerations may exist. Also included in this publication is a list of resources for additional information. This publication was written by Linda C. Batiste, MS, and Beth A. Loy, MS, Human Factors Consultants with the Job Accommodation Network. If further information is needed, please call JAN at 1-800-526-7234. 1/01 PARKINSON'S DISEASE QUESTIONS TO CONSIDER WHEN DETERMINING ACCOMMODATIONS What symptoms or limitations is the individual with PD experiencing? How do these symptoms or limitations affect the person and the person's job performance? What specific job tasks are problematic as a result of these symptoms and limitations? What accommodations are available to reduce or eliminate these problems? Are all possible resources being used to determine possible accommodations? Has the employee with PD been consulted regarding possible accommodations? Once accommodations are in place, would it be useful to meet with the person with PD to evaluate the effectiveness of the accommodations and to determine whether additional accommodations are needed? Do supervisory personnel and employees need training regarding PD, other disability areas, or the Americans with Disabilities Act? ACCOMMODATION CONSIDERATIONS FOR PEOPLE WITH PARKINSON'S DISEASE (Note: People with PD will develop some of these limitations/symptoms, but seldom develop all of them. Limitations will vary among individuals. Also note that not all people who have PD will need accommodations to perform their jobs and many others may need only a few accommodations. The following is only a sample of the possibilities available. Numerous other accommodation solutions exist as well.) Fine Motor: * Implement ergonomic workstation design * Provide arm supports * Provide alternative computer access and keyguard * Provide alternative telephone access * Provide writing and grip aids * Provide a page turner and a book holder * Provide a note taker Gross Motor: * Reduce walking or provide a scooter or other mobility aid * Provide parking close to the work-site * Provide an accessible entrance * Install automatic door openers * Provide an accessible route of travel to other work areas used by the employee * Move workstation close to other work areas, office equipment, and break rooms Fatigue/Weakness: * Reduce or eliminate physical exertion and workplace stress * Schedule periodic rest breaks away from the workstation * Allow a flexible work schedule and flexible use of leave time * Allow work from home * Make sure materials and equipment are within reach range Speech: * Provide speech amplification, speech enhancement, or other communication device * Use written communication, such as email or fax * Transfer to a position that does not require a lot of communication * Allow periodic rest breaks Medical Treatment Allowances: * Provide flexible schedules * Provide flexible leave * Allow a self-paced workload with flexible hours * Allow employee to work from home * Provide part-time work schedules Depression and Anxiety: * Reduce distractions in work environment * Provide to-do lists and written instructions * Remind employee of important deadlines and meetings * Allow time off for counseling * Provide clear expectations of responsibilities and consequences * Provide sensitivity training to co-workers * Allow breaks to use stress management techniques * Develop strategies to deal with work problems before they arise * Allow telephone calls during work hours to doctors and others for support * Provide information on counseling and employee assistance programs Cognitive Impairment: * Provide written job instructions when possible * Prioritize job assignments * Allow flexible work hours * Allow periodic rest breaks to reorient * Provide memory aids, such as schedulers or organizers * Minimize distractions * Allow a self-paced workload * Reduce job stress * Provide more structure Activities of Daily Living: * Allow use of a personal attendant at work * Allow use of a service animal at work * Make sure the facility is accessible * Move workstation closer to the restroom * Allow longer breaks * Refer to appropriate community services PRODUCTS There may be products available to accommodate an employee with PD. For information on specific products and vendors contact JAN. EXAMPLE ACCOMMODATIONS FOR PEOPLE WITH PARKINSON'S DISEASE A secretary with PD and hand tremors was having difficulty using a keyboard, writing, manipulating manuals, and filing. She was accommodated with a keyguard, typing aid, page turner, and open files. A supervisor with PD was having difficulty managing fatigue. The employer provided a private rest area with a cot so the individual could take breaks throughout the day. A file clerk was having difficulty meeting the physical demands of the job, including walking between work areas, standing at filing cabinets, and carrying files. The individual was accommodated with a power scooter with a basket and a stand/lean stool. A technician with PD was having difficulty concentrating. The employee's supervisor provided written job instructions when possible and allowed the individual to have periodic rest breaks. In addition, she was moved to a corner cubical where distractions were minimized with strategically placed baffles. A customer service representative with PD was having difficulty manipulating his mouse, writing, standing to greet people, and communicating effectively. He was accommodated with a trackball, writing aid, stool with lift cushion, and speech amplification. A technical consultant was having difficulty using the computer in the afternoons due to fatigue. He was accommodated with speech recognition and an ergonomic workstation. An office assistant with tremors and fatigue was having difficulty typing the number of words per minute required by her employer. The individual rearranged her workstation to reduce distractions and her employer offered flexible scheduling. Her word processing software was programmed with macros to reduce keystrokes and she was given speech recognition software. A consultant with PD was having difficulty getting to work on time. He was accommodated with flexible scheduling so he could use public transportation. A teacher with PD was having difficulty standing in front of the classroom to write on the board. The individual was accommodated with a scooter and a laptop and PC projector. She was then able to remain seated while using the computer and projector to display information to the class. An engineer was having difficulty concentrating and communicating. The individual was accommodated with a quiet office free from distractions. In addition, her supervisor implemented a policy of scheduled interruptions with written reminders and assignments. The individual was also provided with a communication device. also see: JAN on the Web - Americans With Disabilities Act Links http://janweb.icdi.wvu.edu:80/links/adalinks.htm ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn