Are there some occupations that encourage recovery? For example, if you are an electrician, are you more likely to recover quickly?”
I can provide clinical observation only
- Among the professions, first responders (police and fire) and teachers have a complex road and motivators to psychological recovery. When a teacher is assaulted, he/she often feels that the incident was preventible and that insufficient safety precautions could insure a recurrence should s/he retrn to work. In the case of first responders, especially when this was a first bruch with horrific trauma, there is a re-questioning as to whtehr the career choice was a good one.
- Among the trades, due to probable nature of injury, electricians can have, for example, a more difficult return to work process than does a plumber.
- By far the most problematic situation exists in which the nature of the injury imposes limitations for which the patient does not have alternate skills, and/or the employer does not offer other work options.
There are several additional and critical motivators that are not sufficiently addressed after injury:
Is the patient at an age where return to the job is less desirable than the concept of “retirement.”
Has the patient burned out on the job, and the injury offers a reward in removing him/her from such work.
Has the patient reasonable suspicion that the employer wants him/her back at work with a plan that involves firing or laying off the employee
Has the injury become a point of contention with the employer to the extent that the patient believes that the employer is punished by his/her drawing benefits?
Who are those likely to fight against pain and limitations to return to work?
- Professionals who derive their identity and worth from their job title and performance
- Those who find it anguishing to be isolated from the workforce.
- Those who wish to maintain themselves in role of head-of-household.
In toto, look at the patient’s life including, age, education, financial situation and family: Then ask “does the injury provide this patient with a solution to life problems; a solution that would not be found without a compensible injury?”