Skip to main content

Slipping Under the Radar

A work injury is NO vacation!  Most of us would agree with that statement.  It's never fun to get hurt, yet it doesn't stop an injured worker from trying to turn recovery time into paid time off.  It is very common to have clients make requests to postpone procedures, therapy and return to work for personal reasons.  If this request is made to a physician under their group health insurance, it is not really an issue.  However when such a request is made during healing timeframe from a work injury, this is not an appropriate or reasonable request.

As Case Managers, we must remind both the injured worker and providers that during recovery and rehabilitation time the injured worker's "job" is to heal and comply with appropriate treatment and work status.  

Just this week, Deana Scott, RN had a client to request postponing her light duty return to work until she could finish outpatient therapy.  What Deana reminded her of, was that the activity of going to work and working within restrictions was part of her rehabilitative process.  When properly administrated and observed, light duty work in itself is "therapy."  This client's treating physician agreed and issued a light duty return to work release for the following day, but what would have happened had a case manager NOT interjected to avoid delayed return to work?  Most likely it would have slipped under the radar and this injured worker would have gotten her "Patient Preferred Results."

What Patient Preferred Results are slipping under your radar without a Case Manager?    




Comments

Popular posts from this blog

VIP Conference Drawing

My blog is late in the week, for we all attended the Arkansas Workers Comp Commission Educational Conference this week.  As always, it was full of great presenters and information which I will be excited to share with you.  I cannot tell you how much we all look forward to this conference where we can visit with all our customers and long time friends in the WC arena.  We also love to have a little fun with competition while we're there.  This year we had a general attendee drawing for a lovely lantern, which went to Laura Hopper with AIG,  In addition, we had a very special VIP drawing for a VISA gift card that went to...well, watch and see! A heart felt thank you to everyone that stopped by our booth and especially our VIP drawing participants!

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 catastrophic injuries, but also ha

Col. Mustered, in the Library, with a Rope

Last weekend my college aged daughter was reminiscing playing the game of Clue as we used to do on family game nights – before teen social calendars became too busy.  Clue was one of our favorite games, where you play detective to solve a murder mystery by ruling out possible suspects and murder weapons.  During the course of the game, if you think you have solved the mystery, you can lay down your cards and make the accusation of the murderer, but if you’re wrong, you lose the game! Solving the source of an injured worker’s back pain is much like the game of Clue.  The physical exam, diagnostics, and conservative treatment measures including medications, therapy, and injections will hopefully alleviate the pain source.  The general public has a misconception that surgery will “fix” their back.  Injured workers many times don’t like it when a second surgical opinion is recommended; it feels like the insurance carrier is cheaping out and won’t let them get their back “fixed.”  What