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WSIB 101 – System Navigation after a Workplace Accident

Guest Blogger Jessica VandenBussche, Occupational Therapist

Each year, 1 of every 46 Canadians has a workplace injury that causes them to miss at least one full day of work. This translates to approximately $19B of costs to the Canadian economy; $43 000 per claim in Ontario. Both companies and the injured workers suffer losses in earnings and productivity, in addition to emotional or other indirect costs. Prevention is the number one goal to address workplace injury.  It is also important to know what options exist for those who experience illness or injury at work.

Other blogs in the “Workplace Wednesday” series discuss how an Occupational Therapy can be useful in the return to work process. However, the goal of this article is to provide basic information on how to navigate the various systems involved in providing resources for the injured worker. This is important because the length of disability can be prolonged, and the worker needs to be able to manage in the meantime.  Even though resources are available to injured/sick workers, many people have difficulty accessing these because they often do not know what is available, who to contact, or how to do the required paperwork.

One of the primary resources for workplace injuries is the Workplace Safety and Insurance Board (WSIB, formerly known as Worker’s Compensation Board). The WSIB is a non-government, for profit trust agency that acts as a middle man to manage finances between any involved parties. They provide insurance to workplaces to cover expenses for individuals who are injured or become sick due to their work – regardless of fault.  This includes medical coverage, help getting back to work, and wage loss benefits.

The WSIB will fund occupational therapy assessment and treatment because OT’s have significant expertise helping people return to meaningful activities, and address underlying physical, mental and emotional issues that prevent participation in life roles.

Many workplaces are required to have WSIB coverage, and some who are not required choose to have this coverage regardless. A worker is eligible for compensation if their workplace is covered or is supposed to be covered by WSIB insurance.  Keep in mind, WSIB could still be available to those who do not have a work permit or are non-status. Phone the WSIB at 1-800-387-0500 (7am-5pm) to find out more information and if you are eligible for WSIB compensation.

Like any system, WSIB is not perfect.  Drawbacks of WSIB include:  long paperwork processing times which leaves the sick/injured worker without payment while they wait, workers can experience pressure to return to work too quickly, and claims for some injuries can be denied based on differing clinical opinions.

If you are covered by WSIB (or if you are unsure), fill out a Form 6 and mail/fax/deliver it to your closest WSIB office as soon as possible after you sustain your injury. Keep one copy for yourself and give one to your employer. Also report to a doctor, have them do a Form 8 and have them send it to WSIB. Have your employer fill out a Form 7. You can get these forms on the WSIB website, www.wsib.on.ca.

It is also important to know your options for compensation. Other options include:

·         Appealing a WSIB decision -Employment-based long-term disability plans

·         Canada Pension Plan Disability (CPP-D)

·         Employment Insurance Sickness Benefit

·         Veteran’s benefits for disability

·         Tax Measures (Disability Tax Credit, which includes Tax Benefit Disability and Registered Disability Savings Plan)

·         Provincial social assistance disability services

These funding sources have different benefits and eligibility criteria’s. Many people find it useful to hire a lawyer and case manager or occupational therapist to help them find and advocate for funding and treatment. Occupational therapists are experienced in navigating these complex social systems. We can help figure out what funding an injured worker is eligible for by working with them (and their lawyer, if necessary) to recommend resources and to complete necessary paperwork. We also provide clinical opinions about how a worker’s physical, mental and emotional state contributes to their ability to work, and what help or modified work they need. Occupational therapists also have the knowledge and experience necessary in the healthcare system to communicate with other health care professionals (e.g. doctors) about how a sickness or injury relates to work function and what services are needed to improve this.

Workplace injury and sickness can have negative and life-changing effects. However, it is important that as a worker you understand your rights and advocate to obtain the help you need.  For more information, consider reviewing the links below:

Useful resources

WSIB website for WSIB information, stats, and forms:
www.wsib.on.ca

Worker’s Action Centre, for worker rights, news, forms and support:
ww.workersactioncentre.orgw

Government of Canada Labour Program, for information and statistics about the Canadian labour force:
www.labour.gc.ca/eng/health_safety/pubs_hs/oidc.shtml

Institute for Work and Health, for research and education about work and worker-related issues:
www.iwh.on.ca

Specifically, this document describes various sources of income security for Canadians with disabilities:
www.iwh.on.ca/briefings/a-patchwork-quilt

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Occupational Therapy Works In The Workplace

October is Occupational Therapy month in Canada.  This month we will be celebrating and sharing on our blog everything OT.  In our OT Month series, “OT Works Here,” we will be highlighting some of the key areas in which OT works to change lives by providing solutions for living.

Today we want to highlight the many ways that Occupational Therapy works in the workplace in the following infographic:

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Happy Ergo Month!

October is Global Ergonomics Month!  As Occupational Therapists, a large part of what we do involves ensuring proper ergonomics for our clients at work or school, at home and at play.  The following from the Public Services Health and Safety Association provides you with some great information and resources for Ergo Month.

For more information check out some of our articles on ergonomics and download our free E-book “Cost Effective Ergonomic Solutions.”

Happy Ergo Month!

The Public Services Health and Safety Association:  Ergo Month

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What Is Sitting Disease?

The negative health effects of sitting for extended periods of time, coined as “sitting disease” has been a hot topic recently. Studies show that sitting for extended periods of time, as many of us do at work, while commuting, and even while watching television or reading, can lead to increased risk of heart disease, diabetes and a decreased lifespan. But while we need to work, commute, and enjoy our down time, how do we combat these negative effects? Here are our top 5 tips to conquer sitting disease:

1. Take Regular Breaks: Taking a regular break can help boost productivity, reduce stress and benefit your physical health. Once an hour make sure you stand up, walk around the office, stretch or do some simple exercises like squats or lunges.

2. Stand While You Work: Standing workstations are becoming an increasingly popular choice in offices across the globe. These workstations allow you to adjust your desk from sitting to standing so you can have both options during the day.

3. Switch Your Seat: If you must sit while working, think about changing your seating options! From exercise ball chairs to desks with pedals, there are many options to help you increase your health while sitting.

4. Perfect Your Posture: While you are seated ensure you are not slouching, leaning or bending over to access your workspace. Sitting up straight and ensuring proper posture will go a long way for your physical health!

5. Make it a Mobile Meeting: If you’re meeting with a colleague see if you can have your meeting on the go. Take a walk around the block while you discuss or walk to your favourite coffee shop where you can continue your discussions there.

Check out the web’s premier sitting disease prevention guide brought to you by Beyond the Office Door for more information and resources on the prevention of sitting disease.

Beyond The Office Door:  The Web’s Premier Sitting Disease Prevention Guide

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Back to Routine, Back to Ergonomics

With the change in routine through the summer months, it is time to rethink about how we are sitting and working all day to make sure our body can adjust to the new routines that are devoid of summer vacation and summer activities.

In our previous posts, we have discussed using proper ergonomics to help support your back, neck and shoulders.  Today, we look at how to reduce wrist pain and related injuries.

Wrist injuries and corresponding pain are common work-related musculoskeletal disorders that can have detrimental consequences. Repetitive hand movements completed on the job is often a key culprit, however, improper positioning of the wrists, forearm and shoulder can also be a factor. Keyboarding, use of a mouse and extended periods of sitting at a computer in one position can lead to symptoms like wrist and forearm pain, weakness, numbness or tingling in the fingers and in some cases, development of cysts or nodules around the wrist joint and tendons.

Injuries to the wrist are particularly troublesome as we heavily require use of our hands throughout the work day. Barr, Barbe and Clark (2004) reported that work-related musculoskeletal disorders of the wrist and hand cause the longest absences from work and as such, are associated with greater losses in productivity and wages than injuries in other body areas. This research was also supported by a more recent study, which found that lost productivity costs related to hand and wrist injuries was roughly $411 million dollars per year and this was the highest among any other injury type studied (de Putter, Selles, Polinder et al., 2012). There are some strategies that can be used to prevent and address wrist pain, but it is essential to keep in mind that as with any other potential for injury at work, the worker, work station and job demands must all be considered.  Some great strategies to address wrist pain at work include:

  • Take regular breaks to stretch and allow your wrists to rest. If needed, use a timer on your computer to tell you when it is time to take a break. There are several free timers you can download and use such as Focus Booster (available for download at https://www.focusboosterapp.com/download) or Orzeszek Timer (available for download at http://www.orzeszek.org/dev/timer/)
  • Alter your job demands between typing, using the phone, filing or other duties that reduce strain on the wrist.
  • Ensure you are positioned so that your wrists remain in a neutral position during typing. This may require adjusting your keyboard, mouse or chair.

Many other great solutions to address wrist pain at work can be recommended by an Occupational Therapist, with solutions ranging from low to high cost. For more information, check out Entwistle Power’s FREE Office Ergonomic E-Book or contact an Occupational Therapist to help meet the ergonomic needs of your organization.

 

Resources

Barr, A., Barbe, M. & Clark, B. (2004). Work-related musculoskeletal disorders of the hand and wrist: epidemiology, pathophysiology and sensorimotor changes. J Orthop Sports Phys Ther. Oct 2004, 34 (10), 610-627.

de Putter, C., Selles, R., Polinder, S., Panneman, M., Hovius, S. & van Beeck, E. (2012). Economic impact of hand and wrist injuries: health-care costs and productivity costs in a population-based study. J Bone Joint Surg Am. 2012, 94:e56 (1-7).

http://www.ccohs.ca/oshanswers/ergonomics/office/mouse/mouse_problems.html

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Back to Routine, Back to Ergonomics

With the change in routine through the summer months, it is time to rethink about how we are sitting and working all day to make sure our body can adjust to the new routines that are devoid of summer vacation and summer activities.

In our previous posts, we have discussed using proper ergonomics to help support your back and neck.  Today, we look at how to reduce shoulder pain and related injuries.

Sloppy shoulders – are you guilty? Take a second to freeze at your desk and notice how your body is positioned. If you are like most people, your shoulders are slumped or rounded and you are bending over your desk. Many people’s work stations consist of their computer or laptop, keyboards, phone and mobile devices, requiring them to switch back and forth between devices while still spending extended periods of time in a seated, slumped position.

Being in this position for an extended period causes strain to the upper body, particularly the shoulders and upper back. At first, you may feel achy or tired in these areas, but this goes away at night or during days off work so it doesn’t impact your work performance. However, over time you may start to notice that your aches and pains begin earlier in the day, your muscles feel tight, and this starts to hamper you even when you aren’t at work. This impacts your productivity, quality of life and can lead to more serious and long-lasting injuries.

Here are some great tips to help address these issues before they start to impact your daily function, or if they do exist, to stop them from worsening:

• Lower your keyboard so your shoulders are not elevated when typing.

• Adjust your posture so you are sitting up straight in your chair, with your shoulders pulled away from your ears and your feet are flat on the floor with your knees directly over them.

• Alter your position so that you are not reaching forward to your keyboard or mouse.

• Adjust your chair so that your arms reach your desk at a 90 degree angle.

• Take regular breaks to stretch or stand up to relieve tension in your upper body.

• Stick out your chest to bring your shoulders back and down. Do this several times per day and hold this position.

Want more strategies to address pain at work? Check out our free e-book “Cost Effective Ergonomic Solutions” to learn additional strategies for addressing shoulder and upper back pain, among others, while you are sitting at your desk.

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Back to Routine, Back to Ergonomics

With the change in routine through the summer months, it is time to rethink about how we are sitting and working all day to make sure our body can adjust to the new routines that are devoid of summer vacation and summer activities.

In our previous post, we discussed using proper ergonomics to help support your back.  Today, we look at how to reduce neck pain and injuries.

Text Neck—are you guilty? A recent article in the two way by Laura Sullivan discusses the posture adopted by many people when leaning over a cellphone while reading and texting. This bad posture can put up to 60 pounds of pressure on the upper spine — sometimes for several hours a day, depending on how often people look at their devices.

And it isn’t just texting. Believe it or not, holding the upper body still and sitting in an upright position, as is required when spending time sitting at a desk for long times such as working at a computer, requires a lot of effort from our muscular systems. There is an invisible but constant battle against gravity to maintain the head in an upright position, at the optimum distance from the screen, combined with maintaining one’s arms in the proper typing position increases the static load on our body, especially the neck and shoulders.

The Institute of Work and Health reported that neck pain related to work is one of the most common complaints of working aged adults and in 2006 it was reported that injuries to the upper extremity account for 30% of lost-time claims in Ontario.

There are often some commonly occurring culprits in the office that lead to poor postures and over time, fatigued bodies and resulting neck pain. Some of these culprits include:

• Non-adjustable workstations

• Workstations that are not properly designed or not well suited to the individual

• Lack of knowledge and experience on how to set up and adjustable workstation properly according to the worker’s needs (being sure to consider the worker’s body and their job tasks)

• Unsuitable job design that requires workers to sit uninterrupted for longer than an hour at a time

The good news is that many of these issues can be addressed through prevention. Some great tips for adjusting work stations to prevent neck pain include:

• Making sure that your monitor is directly in front of you and does not require you to look to the side

• If your monitor is too low, raise it with a book or another solid object

• Use split screen to read two documents at once while reducing neck rotation

For more great suggestions on how you can address neck pain in the workplace, download our E-Book:  “Cost Effective Ergonomic Solutions” and check out past posts on Wellness in the Workplace.

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Back to Routine, Back to Ergonomics

With the change in routine through the summer months, it is time to rethink about how we are sitting and working all day to make sure our body can adjust to the new routines that are devoid of summer vacation and summer activities.

Today we focus on proper ergonomics to support your back.

In 2010, back pain was found to be the single leading cause of disability world-wide according to the Global Burden of Disease.   It has been estimated that 186 million work days are lost each year to back pain alone which greatly impacts workplace productivity and costs. The Mayo Clinic has found that a number of factors can contribute to back pain and back injuries at work. The four most common factors include:

1.       Force:  Job demands that require lifting or moving heavy objects exerts force on our back which can lead to injury.

2.       Repetition:  Repetitive movements leads to muscle fatigue and in turn can lead to injury, particularly if these movements involve stretching our back near the limits of our range of motion or using awkward body positions.

3.       Posture:  Posture is a critical component in preventing fatigue and injury. Slouching or sitting in awkward positions alters the natural curves in our back, increasing fatigue and can lead to pain and injury.

4.       Stress:  While we often think of the negative impacts stress can have on our mental well-being, it also impacts our physical well-being. High levels of pressure at work or increased stress leads to muscle tension and tightness, which can contribute to or worsen back pain.

If back pain is something you or someone in your workplace experience, there are some strategies you can use to help minimize existing problems and even prevent issues before they arise:

·         Ensure that your feet are flat on the floor, as this helps stabilize our pelvis and lower back

·         If you have an adjustable chair, alter the settings so that your lower back has increased support

·         Get a colleague to take a photo of you sitting at your desk or workstation and examine your posture. Can this be adjusted?

·         Take regular breaks to stretch, stand up and walk around the office to complete other tasks

For more information, take a look at our FREE downloadable resource on office ergonomics and stay tuned for more Workplace Wednesday blog postings highlighting stretches and exercises to help address common work-related concerns such as back pain.

Resources

http://www.inthefaceofpain.com/content/uploads/2011/09/factsheet_Workplace.pdf

http://www.ccohs.ca/oshanswers/ergonomics/inj_prev.html

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The State of Mental Health at Work

21% of working Canadians report they currently struggle with mental health illness and issues.  This is a problem that is affecting the economy, individual businesses, and more importantly, the health of our Canadian population.

Check out the following infographic created by the Canadian Centre for Occupational Health and Safety which delves deeper into the issues and suggests ways both employers and employees can work to to reduce stress and improve this growing problem.

mentalHealth