<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532022000100131</article-id>
<article-id pub-id-type="doi">10.31252/rpso.21.05.2022</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[EPILEPSIA VERSUS SAÚDE E SEGURANÇA OCUPACIONAIS]]></article-title>
<article-title xml:lang="en"><![CDATA[EPILEPSY VERSUS OCUPACIONAL HEALTH AND SAFETY]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Especialista em Medicina do Trabalho Especialista em Medicina Geral e Familiar ]]></institution>
<addr-line><![CDATA[Gondomar ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Católica Portuguesa Instituto da Ciências da Saúde - Escola de Enfermagem (Porto) Enfermeiro Especialista em Enfermagem Comunitária, com Competência Acrescida em Enfermagem do Trabalho]]></institution>
<addr-line><![CDATA[Gondomar ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Licenciada em Enfermagem  ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>13</volume>
<fpage>131</fpage>
<lpage>138</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532022000100131&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532022000100131&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532022000100131&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução/enquadramento/objetivos Não é raro que durante o exame de Saúde Ocupacional o trabalhador refira ter epilepsia, facto esse que, em determinados contextos laborais, poderá implicar um risco de acidente eventualmente grave, surgindo, por vezes, algumas dúvidas em como classificar a aptidão, mantendo o sigilo médico e simultaneamente informando (empregador/chefia/recursos humanos) que tarefas deverão ser evitadas.  Metodologia Trata-se de uma Revisão Bibliográfica, iniciada através de uma pesquisa realizada em janeiro de 2022, nas bases de dados &#8220;CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina e RCAAP&#8221;.  Conteúdo Na Epilepsia verifica-se a existência de atividade elétrica anormal a nível cerebral; trata-se de uma disfunção do sistema nervoso central, episódica e imprevisível, ainda que controlável na maioria dos casos. A crise epilética pode cursar com perda de consciência e/ou contração muscular intensa e involuntária. Alguns efeitos secundários dos fármacos utilizados podem contribuir para o abandono da terapêutica ou, pelo menos, omissão de algumas doses. A taxa de desemprego e subemprego é superior nestes indivíduos; não só pelo estigma associado à crise e risco de acidente, mas também devido aos efeitos secundários dos fármacos, como sonolência, vertigem, cefaleia e/ou alterações cognitivas, que podem diminuir o desempenho laboral. Para além disso, o desemprego pode ficar potenciado ainda com a diminuição da autoestima, menores qualificações (a nível de habilitações e experiência profissional), transporte dificultado por não ter carta de condução e por existir pouca informação acerca da doença (da parte de colegas e empregador). Avaliar a aptidão laboral de um epilético é uma tarefa complexa, sobretudo quando existem Convulsões razoavelmente recentes. A aptidão variará caso a caso, considerando o tipo de Epilepsia, frequência e intensidade das crises, controlo proporcionado pela medicação e eventuais efeitos secundários, bem como tarefas laborais em si. Em função da discriminação, alguns trabalhadores preferem ocultar a patologia ao empregador e até ao Médico do Trabalho. O fator determinante para a empregabilidade (acesso e manutenção do posto de trabalho) é o controlo das crises.  Discussão e Conclusões Não existem guidelines consensualmente aceites, relativas a como atuar com trabalhadores epiléticos; em alguns países e/ou setores profissionais específicos existem indicações sumárias e pontuais. Caberá ao Médico/Enfermeiro do Trabalho e Técnico de Segurança atuar caso a caso, de forma a garantir as melhores condições de trabalho. Parece ser consensual que, à partida, pelo menos dois anos sem Convulsões poderão permitir supor que a taxa de recorrência será razoavelmente baixa. Em caso de dúvida, os elementos da Saúde e Segurança poderão se socorrer de parecer por escrito do neurologista assistente, de forma a existir uma salvaguarda técnica e legal, perante o parecer colocado na classificação de aptidão e/ou timing para reavaliação.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction/framework/objectives It is not uncommon for a worker to report having Epilepsy during the Occupational Health exam, a fact that, in certain work contexts, may imply a risk of an eventual serious accident, sometimes arising some doubts on how to classify aptitude, maintaining confidentiality and simultaneously informing the employer/management/human resources which tasks should be avoided.  Methodology This is a Bibliographic Review, initiated through a search carried out in January 2022 in the databases &#8220;CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP&#8221;.  Contents In Epilepsy, the existence of abnormal electrical activity in the brain is verified; it is a dysfunction of the central nervous system, episodic and unpredictable, although controllable in the majority. The epileptic seizure may lead to loss of consciousness and/or intense and involuntary muscle contraction. Some side effects of the drugs used can contribute to the abandonment of therapy or, at least, the omission of some doses. The unemployment and underemployment rate is higher in these individuals; not only because of the stigma associated with the crisis and risk of accident, but also because of the side effects of drugs, such as drowsiness, vertigo, headache and/or cognitive changes, which can reduce work performance. In addition, unemployment can be further exacerbated by a decrease in self-esteem, lower qualifications (in terms of qualifications and professional experience), not having a driver license and because there is little information about the disease (from colleagues and employer). Assessing an epileptic's ability to work is a complex task, especially when there are reasonably recent seizures. Aptitude will vary from case to case, considering the type of Epilepsy, frequency and intensity of seizures, control provided by medication and possible side effects, as well as work tasks themselves. Due to discrimination, some workers prefer to hide the pathology from the employer and the occupational physician. The determining factor for employability (access and maintenance of jobs) is crisis control.  Discussion and Conclusions There are no consensually accepted Guidelines about Epileptic workers; in some countries and/or specific professional sectors there are short specific indications. It will be up to the Occupational Physician/Nurse and Safety Technician to act on a case-by-case basis, to guarantee the best working conditions. It seems to be consensual that at least two years without seizures may allow for the assumption that the recurrence rate will be reasonably low. In case of doubt, the Health and Safety elements may rely on the written opinion of the assistant neurologist, to have a technical and legal safeguard, in view of the aptitude classification and/or timing for reassessment.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[epilepsia]]></kwd>
<kwd lng="pt"><![CDATA[saúde ocupacional]]></kwd>
<kwd lng="pt"><![CDATA[segurança ocupacional e medicina do trabalho.]]></kwd>
<kwd lng="en"><![CDATA[epilepsy]]></kwd>
<kwd lng="en"><![CDATA[occupational health]]></kwd>
<kwd lng="en"><![CDATA[occupational security and occupational medicine.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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