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

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...

A Brilliant Mind

Visit Our Website                                                          Connect with me on LinkedIn It’s kind of an inside joke around our office that I’ve been called “brilliant” by a physician for my interpretation of a lumbar MRI.  This story happened several years ago when Stacy Mathis, RN working with me in training, and was my witness!  This physician is known for his eccentric personality, and he went all out to make me feel as though my critical thinking skills really were brilliant!  I was attending a clinic visit for MMI and PPI assignment of a shoulder and lumbar injury.  The shoulder had been complicated by a postoperative infection, and was now healed.  The lumbar injury had been diagnosed as a strain, although an MRI had been obtained to rule out a disc herniation.  I was expecting a high ra...

Pills, Pills, Pills - What's in a Name?

Yes, I know medical terms sound like another language to lay persons.  Sometimes we medical people get a good laugh out of patient's pronunciations.  My mother always called the "pharmist" to refill her meds.  My friend's mother said she needed "cadillac" (cataract) surgery.  One injured worker told me he was x-rated and sent home from the ER.  But the funniest was a lady talking about her "rotisserie cup" surgery - translated "rotator cuff". Medication names - particularly generic names, can be very confusing.  That's why I always recommend carrying a written list of medications in your wallet.  It's great to have in an emergency, or when you are filling out clinic history forms.  While we can laugh off some mispronunciations, medication names are very important NOT to get confused. Stacy Mathis, RN had a patient this week that is a perfect example.   An injured worker had been recommended to return to his psychologi...