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# JAN’S ACCOMMODATION FACT SHEET SERIES

**Job Accommodations for People**

**with Lupus**

# Lupus is a chronic, autoimmune disease that causes inflammation of various parts of the body. The body's immune system normally makes proteins called antibodies to protect the body against viruses, bacteria, and other foreign materials called antigens. In an autoimmune disorder such as lupus, the immune system loses its ability to tell the difference between antigens and its own cells and tissues. The immune system then makes antibodies directed against "self." These antibodies, called "auto-antibodies," react with the "self" antigens to form immune complexes; individuals with lupus produce too many antibodies. The immune complexes build up in the tissues and cause inflammation, injury to tissues, and pain by attacking functioning organs, especially the skin, joints, blood, and kidneys.  Although lupus can affect any part of the body, the most common symptoms are butterfly-shaped skin rashes; arthritis; nephritis (kidney problems); inflammation of the lungs, heart, or abdominal cavity; and gastrointestinal disorders. Other symptoms include fatigue, fever, impaired vision, weight fluctuation, headaches, frequent infections, anemia, alopecia (hair loss), seizures, and photosensitivity.   

The following is a quick overview of some of the job accommodations that might be useful for people with lupus. For a more in depth discussion, access JAN's publications at http://askjan.org/media/atoz.htm.  To discuss an accommodation situation with a consultant, contact JAN directly.

**Photosensitivity:**

· Minimize outdoor activities between the peak hours of 10:00 am and 4:00 pm

· Avoid reflective surfaces such as sand, snow, and concrete 

· Provide clothing to block UV rays

· Provide “waterproof” sun-protective agents such as sun blocks or sunscreens

· Install low wattage overhead lights 

· Provide task lighting 

· Replace fluorescent lighting with full spectrum or natural lighting

· Eliminate blinking and flickering lights

· Install adjustable window blinds and light filters

# Fatigue/Weakness:

· Reduce or eliminate physical exertion and workplace stress

· Schedule periodic rest breaks away from the workstation

· Allow a flexible work schedule, flexible use of leave time, and/or work from home

· Implement ergonomic workstation design

· Provide a scooter or other mobility aid if walking cannot be reduced

**Fine Motor Impairment:**

· Implement ergonomic workstation design 

· Provide alternative computer access 

· Provide alternative telephone access 

· Provide arm supports 

· Provide writing and grip aids 

· Provide a page turner and a book holder 

· Provide a note taker 

# Migraine Headaches:

· Provide task lighting

· Eliminate fluorescent lighting

· Use computer monitor glare guards

· Reduce noise 

· Provide alternate work space to reduce visual and auditory distractions

· Implement a "fragrance-free" workplace policy

· Provide air purification devices

· Allow flexible work hours

· Allow periodic rest breaks

· Allow work from home

# Respiratory Difficulties: 

· Provide adjustable ventilation 

· Keep work environment free from dust, smoke, odor, and fumes 

· Implement a "fragrance-free" workplace policy and a “smoke-free” building policy

· Avoid temperature extremes 

· Use fan/air-conditioner or heater at the workstation

· Redirect air-conditioning and heating vents

· Provide adequate exhaust systems to remove fumes from office machines

· Allow individual to wear a respirator mask

· Allow work from home

**Cognitive Impairment:**

· Provide written job instructions when possible 

· Prioritize job assignments 

· Allow flexible work hours 

· Allow periodic rest periods to reorient 

· Provide memory aids, such as schedulers or organizers 

· Minimize distractions 

· Allow a self-paced workload 

· Reduce job stress 

# · Provide more structure

**Seizure Activity:**

· Eliminate the need to use sharp objects

· Eliminate blinking and flickering lights

· Replace fluorescent lighting with full spectrum or natural lighting

· Use computer monitor glare guards, adjust monitor intensity and color, and decrease the cursor speed of the mouse

· Provide protective clothing/equipment 

· Modify job tasks requiring fine finger dexterity

· Allow flexible work hours

· Allow periodic rest breaks

· Allow work from home

**Stress:**

# · Develop strategies to deal with work problems before they arise 

# · Provide sensitivity training to coworkers 

# · Allow telephone calls during work hours to doctors and others for support 

· Provide information on counseling and employee assistance programs

# Vision Impairment: 

# · Magnify written material using hand/stand optical magnifiers

· Provide large print material, screen reading software, and****large-size high resolution monitor 

· Control glare by adding a glare screen to the computer

· Install proper office lighting

· Allow frequent rest breaks 

**Resources Specifically for People with Lupus**

**Lupus Foundation of America**

2000 L Street, N.W., Suite 710

Washington, DC 20036

Toll Free: (800)558-0121

Direct: (202)349-1155

Fax: (202)349-1156

http://www.lupus.org

Updated 3/23/10. 

This document was developed by the Job Accommodation Network, funded by a contract agreement from the U.S. Department of Labor, Office of Disability Employment Policy (DOL079RP20426). The opinions expressed herein do not necessarily reflect the position or policy of the U.S. Department of Labor. Nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Department of Labor.

Fact Sheet Series

Job Accommodations for People with Lupus