Work hardening. A valuable resource for the occupational health nurse.

Work hardening is a highly specialized rehabilitation program that spans the transition from traditional rehabilitation therapies to return to work by simulating workplace activities and surroundings in a monitored environment. The goal is to create an environment in which returning workers can rebuild psychological self-confidence and physical reconditioning by replicating their work routine. As disability managers, the proactive role of occupational health nurses begins with their ability to identify appropriate referral options for injured workers early in the rehabilitation phase. Work hardening offers a viable new alternative to the old problems of delayed recovery. Timely introduction of retraining skills can be initiated by the occupational health nurse who understands the work site demands, job responsibilities, and prognosis of the injured worker.