Skip to main content

Case Management of the Older Worker


You might be a boomer if:      

The Beatles

                                                 
  • You know why they call it "dialing" a phone
  • You researched a topic using your parents' set of encyclopedias 
  • You remember Joe Namath in pantyhose

As our case managers log in their case updates, I noticed several claimants that are baby boomers, injured in the workplace.  Stacy Mathis, RN just closed a file on an injured fireman.  His work injury involve several body parts, and his treatment planning had to take into consideration a pre-existing knee surgery and mental depression. From day one, this injured worker stated his goal was to get back to work, which he did achieve.  Jackie Cooper, RN has an ongoing file where the injured worker was just shy a few months from retiring, and will lose all benefits if she cannot complete her tenure.  

Case Management of aging employees takes into consideration these 3 key factors:
  1. Comorbidities - the older we are, the more likely we are to have other pre-existing medical issues such as hypertension, arthritis, or even gastric reflux.  Any comorbidity impacts not only the treatment administered for a work injury, but also the individual's response to treatment.  
  2. Recovery Time - due to aging, many adults have weaker muscles, decreased range of motion and flexibility, and need not only additional healing time, but also sometimes need work conditioning in order to return to their job demands.
  3. Work Ethic - on the positive side, older workers tend to have a good work ethic; a can-do attitude.  
Of these factors, I dare say work ethic is the strongest indicator of successful recovery and Return to Work. Case Managers try to work with the employer and injured worker to facilitate a positive outcome through communications and understanding of special needs.  

But the question remains, Will you still need me When I'm 64? (Click to listen)

Comments

Popular posts from this blog

At the Heart of Case Management

I have done presentations on The Benefits of Case Management to carriers, peers, and other health care professionals.  Sometimes it sounds dry and philosophical to list benefits: access to care, best practice recovery, lowered cost expenditures. But who is the one that benefits?  In our practice, is it the injured worker? the employer? the insurance carrier? From the Case Management Society of America, "It is the philosophy of case management that when health care is appropriately and efficiently provided, all parties benefit." Allow me to demonstrate for you the heart of case management from two of our case managers this week. One of our CM Team has a patient that was "swimming" amidst a work injury and numerous mis-diagnoses and was fearful this CM's job was to just "write him off." Our RN worked to find a physician that would clarify his diagnoses, even collaborating between his group health carrier and Work Comp carrier.  At the conclusion of a...

The Head Bone's Connected to the Neck Bone...

My first test in college anatomy we were given a piece of paper with numbered lines, 1-206.  Instructions were simple:  Name the 206 bones in the body.  I made 100% - thank you. Learning anatomy of all the body systems, and the physiology of how they interact is my love in the medical field.  The science of it all fascinates me. There is a logical physiologic reaction to bodily injury, and a RN Case Manager's critical thinking skills help anticipate symptoms and complaints.   If you hit your thumb hard with a hammer, we know you will have pain, and probably stiffness; and if you smashed it good enough, you could have "sympathetic" stiffness of adjoining fingers in the hand.  That is a known physiologic response. Stacy Mathis, RN has a patient with multiple injuries has begun to relate all aches and pains to his MVA.  The problem is, not all his complaints can be physiologically connected to the injury.  This is quite common in catastrop...

Case Management GPS

W The next time I purchase a new vehicle there are several features I have on my wish list.  For as much as we case managers travel, Navigation is high on the priority scale to make life easier.  Under the pressure of arriving at a physician appointment on time, it's never a good feeling to take a wrong turn or get lost. There are times our role as a case manager is much like a navigator. Deana Scott, RN had that experience just yesterday while attending a physician visit.  After three years of treatment for a work injury, the physician had nothing further to offer, and there appeared to be issues of malingering and symptom magnification.  There was a point at which the physician actually had a look in his eye of being lost as  far as how to bring the treatment course to an end.  Confusion centered around  the injured worker's return to work goals.   It's at times like this, a Case Manager is able to maintain focus and much like a navigato...