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Functional neurological disorder return — DOccMed MCQ

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HardSickness Absence and RehabilitationFunctional neurological disorder returnDOccMed

A laboratory assistant with functional seizures has been absent for three months. Neurology confirms no epileptic seizures; episodes are triggered by fatigue and conflict, and she works with sharps and centrifuges when lone-working late shifts. What is the most appropriate advice regarding fitness for work?

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Correct answer: D — Recommend graded return avoiding lone work and sharps during initial review period

Functional seizures can still create workplace safety risks despite exclusion of epilepsy. The risk relates to sudden episodes around sharps, machinery and lone work. A graded return with temporary task restrictions and review is proportionate. Colleague restraint is unsafe and inappropriate unless part of an emergency response plan.

Reference: FOM Fitness for Work guidance; NICE NG146