The Psychosocial Journey of Prosthetic Use in Workers’ Compensation: Insights from Zack Craft – VP Complex Claims – MTI America

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The Psychosocial Journey of Prosthetic Use in Workers’ Compensation: Insights from Zack Craft – VP Complex Claims

The Psychosocial Journey of Prosthetic Use in Workers’ Compensation: Insights from Zack Craft – VP Complex Claims

Exploring the Mental and Emotional Challenges Beyond Physical Recovery for Injured Workers

In complex claims, especially workers’ compensation, our goal extends beyond arranging and delivering prosthetics to injured workers. It’s about supporting the whole individual’s journey to a new normal. While the physical injury may eventually heal, the mental and emotional recovery associated with using a prosthetic often takes much longer, layered with challenges, adjustments, and evolving perceptions.

The Psychological Landscape of Prosthetic Use

When workers first receive a prosthetic, there is often an initial excitement—an expectation that this new device will restore their capabilities and help them regain control. However, as Zack Craft insightfully noted, the reality can be jarring. While a prosthetic might be an advanced technology, it doesn’t simply replace a lost limb in function or feeling. For many, there’s a disconnect between what they hope the prosthetic will allow them to do and the effort required to make it work seamlessly.

Building balance, strength, and coordination is a significant component of adjusting to a prosthetic. Learning to walk with a prosthetic leg or maneuver a robotic hand requires immense physical and mental energy. The task can be frustrating when an individual expects swift adaptability but instead struggles with limitations. Simple tasks like picking up a cup can become daunting exercises in patience and practice. When the device does not respond as quickly or accurately as they wish, it can be demoralizing, leaving many to feel like they are failing—even when they’re making significant progress.

Cognitive and Emotional Recovery

The mental and emotional journey is as critical as the physical one, if not more so. Injured workers who receive prosthetics face a complex cognitive challenge: accepting and adapting to the new normal that their prosthetic represents. Some embrace this new identity with resilience, proudly displaying and discussing their prosthetics. For others, the attention a prosthetic can draw, the stares, or the questions can be deeply uncomfortable, even triggering feelings of vulnerability or insecurity.

While some workers view their prosthetics as an empowering tool, others may see it as a constant reminder of their injury and loss. This can impact their self-image, confidence, and outlook on the future. A prosthetic is a tool and part of their identity, influencing how they view themselves and others.

Setting Realistic Expectations

A significant part of the recovery journey involves helping injured workers set realistic expectations for what their prosthetics can achieve. Recovery expectations often differ from the experience, especially in the early stages. Workers may assume that they can perform tasks as before the injury once they receive their prosthetic. But the reality is more complex.

For example, those with advanced prosthetic hands may become discouraged when they can’t perform simple, fluid motions due to the need to control the device through muscle signals rather than natural brain impulses. These challenges can be frustrating and may cause some to feel that the technology is failing them when, in fact, it simply requires a different skill set and a period of adaptation.

The Role of Social Perception

There is also a social element to prosthetic use that can impact the worker’s psychosocial well-being. As Zack Craft noted, people react differently when seeing someone with a prosthetic. Some injured workers welcome this attention, feeling empowered and even eager to demonstrate their new abilities. Others may find the attention uncomfortable, feeling that their prosthetic draws too much focus, or that people view them differently because of it.

This aspect of social perception can affect the individual’s comfort with their prosthetic. For some, it might lead to greater self-consciousness and reluctance to engage in social activities. For others, it can foster resilience and pride in their new capabilities.

Understanding Prosthetic Abandonment

Significant challenge in prosthetic rehabilitation is the issue of prosthetic abandonment, where users stop using their prosthetic devices entirely. Studies indicate that approximately 20-30% of adult prosthetic users eventually abandon their devices, with upper-limb prosthetics experiencing higher rejection rates than lower-limb devices.
Factors contributing to abandonment include physical discomfort, difficulty adapting to the device, and unmet expectations regarding functionality. Psychosocial elements, such as frustration over perceived limitations or social discomfort, also play a crucial role. This underscores the importance of setting realistic expectations and providing comprehensive support to promote long-term prosthetic use and improved quality of life for injured workers.

Providing Comprehensive Support

Ultimately, the journey of using a prosthetic is profoundly personal and multifaceted. A successful recovery is not merely about providing the prosthetic but also about providing consistent, compassionate support that allows the injured worker to build confidence, set realistic goals, and adapt to their new normal.

By understanding these psychosocial dynamics, claims professionals can play a crucial role in helping workers reclaim their physical abilities, sense of self, and resilience in the face of a life-altering injury.