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David is a 46 year-old man who works as a Certified Financial Planner with a large investment firm in the Southwestern United States. He works with clients in person, over the telephone, and online to help them establish long-term financial objectives; save for college tuition and retirement; manage household debt; purchase stocks, bonds, and mutual funds; and prepare their estates for succeeding generations of family members. David works full-time, up to 60 hours per week, on a 12month basis. His job requires frequent automobile travel to meetings and conferences in the community and airplane travel to conferences once or twice per year. David was diagnosed with Type II diabetes mellitus at the age of 37. He regulates his blood sugar through diet, regular exercise, and orally-ingested insulin pills. Symptoms of David’s diabetes include fatigue, numbness in his hands and feet due to circulatory problems, occasional blurred vision, excessive bruising, and memory deficits when he experiences fatigue. David takes accrued sick leave when he is unable to work, and he uses a hand-held electronic planner to combat his problems with memory. In fact, he has taken to using the hand-held device at all times. David will also ask his employer to make minor scheduling modifications on days when he is working and experiencing fatigue. One such scheduling modification involves David holding his client meetings in the morning and early afternoon

Vocational Rehabilitation Issues and Outcomes for People with Chronic Illnesses