Event 6: Return to Work Part Time

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Mr. Lane, a middle aged man with his right arm in a compression sleeve
Mr. Lane

As a self-employed farmer, Mr. Lane has been unable to return to work since his injury in October of 2013. He farms 1000 acres of corn and soybeans with his father. His work duties include:

  • Financial planning for equipment, farming needs, taxes, and crop sales
  • Computer use for farm budgeting, ordering, weather, and communication
  • Preparing land for planting, caring for the crops and harvesting
  • Equipment maintenance and repair
  • Physical duties of lifting, climbing, crawling, sitting, standing, driving.

Seasons:

Seasons play an important role for farmers. Contrary to the common belief, farmers usually work all year long.

Spring

In the spring, farmers’ activities include chisel plow fields, order seeds, monitor weather, disc and plow fields, plant seeds, and climbing on/off equipment.

Summer

In the summer, farmers’ activities include fertilizer, weeding, monitor crop conditions; negotiate corn prices, equipment repair and maintenance, irrigation, and crawling under equipment.

Fall

In the fall, farmers’ activities include harvesting, drying corn, storing in grain bin, disc and plowing.

Winter

In the winter, farmers’ activities include equipment maintenance, weather monitoring, snow plowing, shoveling, planning finances and production to maintain farm progress against budget parameters, negotiate prices, and financial record review.

Return to Work and Limitations

On April first of 2014, Mr. Lane was allowed to return to work with some limitation.

Some of the work restrictions include no lifting with right arm, no overhead lifting, pushing, pulling, and no forceful gripping.

Mr. Lane’s concerns about returning to work because he is still unable to climb into combine and onto tractor, unable to hold engine repair equipment, and unable to assemble machinery for farming: chisel plow, and tractor disc.

Medical History

No change.

Medications

  • Atorvastatin 10 mg PO daily
  • Lisinopril 10 mg PO daily
  • Amlodipine 5 mg PO daily
  • Oxycodone/acetaminophen 5/325 mg 1-2 every 6 hours PRN severe pain.
  • Senna-S 2 tablets twice daily
  • Doxepin 25 mg HS PRN sleep
  • Gabapentin 300 mg PO three times a day
  • Duloxetine 60 mg PO daily

Psychosocial

No change.

Work History

No change.

Interventions

No change.

Additional Info

  • Pharmacy cost: $1275.00, Insurance paid $765.00, Out of pocket $510.00
  • Social Work is $45.00 x 10 weeks = $450.00

 

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