1. Patient notification |
1.1. Inform patient of work-related illness |
1.2. Report to appropriate authority as occupational disease, as required by law |
1.3. Inform patient that there are options for compensation |
2. Impairment assessment |
2.1. Conduct an assessment of functional impairment |
2.2. Rate impairment in accordance with ATS criteria, which are incorporated into the AMA Guides |
3. Tertiary prevention |
3.1. Smoking cessation (primary prevention for smoking-related disorders) |
3.2. Withdrawal from further excessive exposure |
3.3. Immunization (pneumococcal pneumonia, influenza) |
3.4. Management of concurrent respiratory and other diseases |
4. Monitoring |
4.1. Chest film and pulmonary function testing should be conducted every 3 to 5 years |
4.2. Active monitoring (periodic screening) for colon cancer |
4.3. Observation and elevated index of suspicion but not screening for lung cancer, mesothelioma, gastrointestinal cancers (other than colon) |
5. Development of a patient-specific management plan for symptomatic disease |
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