Return to Work As well as extent of energy, there are other factors that decrease the probability of return to work: a. Does the individual have a role-modeling adult authority in their past who has lived on disability benefits? b. Has the patient truly a career path or simply worked for sheer financial survival? c. …
Before the patient is treated: If formal psychological diagnostic exam reveals that a psychological disorder exists that has resulted from injury or been exacerbated by injury, then the following series of decisions must be made: a. Is the patient sufficiently motivated for change; interested in being treated? b. Is the patient intellectually capable of understanding …
The Process For many patients, the question can be stated: “If I cannot get a whole lot better…and I really do not know what to do with my life…what possible advantage is there in seeing or presenting myself as maximally medically improved.” And for some of these patients, they may be quite correct. After all, with the …
Patient Dependency THE FAMILY: The family should facilitate recovery, but my experience has been that most often it facilitates disability. Quite often, the family: a. increases the patient’s expression of dependency, b. encourages the patient to take greater amounts of medication so that the family will have to listen to less complaints, c. reinforces the …
Pain tolerance refers to the amount of pain that an individual can withstand before physical and/or emotional collapse (whereas …
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Repeatedly, I have had cases in which the patient is very dramatic about their symptoms, almost as though performing in front …
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Checkers vs. Chess: “It may be difficult to trace the origins of healthcare becoming a competitive sport where doctors …
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