Graves' disease (toxic divuse goiter) is characterized by hyperthyroidism and one or more of the following: goiter, exophthalmos, and pretibial myxedema. Many symptoms and signs are associated with Graves' disease. The more common signs are goiter, moist skin, tremor, eye signs (stare, lid lag, and irritation), nervousness, fatigue, and weakness. From: http://www.merckmanual.com

Accommodation ideas for individuals with Graves' Disease:

Managing fatigue: An individual with Graves' disease may benefit from a flexible work schedule, liberal use of leave time, being allowed to work from home, a reduction or elimination of physical exertion and workplace stress, scheduled rest breaks away from the workstation, and ergonomic workstation design.

Working specific schedules: An individual with a Graves' disease often needs a set dayshift rather than a late or rotating shift due to problems with sleep regulation and fatigue.

Dealing with loss of vision: An individual with Graves' disease may have vision limitations. Visit JAN's SOAR for Vision Impairments for accommodation ideas.

Dealing with workplace stress: An individual with Graves' disease may benefit from reduction or elimination of stress in the current position, transfer to a less stressful position, flexible schedule to recover from any effects caused by workplace stress, and work at home to avoid workplace stress.

Managing heat sensitivity: An individual with Graves' disease may need accommodations to manage heat sensitivity. To do so, work-site temperature may need modified. A person could also benefit from using equipment such as a cool vest or other cooling clothing or having a fan/air-conditioner at the workstation. An individual may also need flexible scheduling, modified dress code, and/or work from home during hot weather.

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