Kathy Metcalfe, RN, CCM, CDMS, PSPM, has been a Paradigm Network Manager since 2011. In this four-part series, Kathy talks about her work with Butch Coffman.

Butch Coffman’s story began when he slipped on the ice going to work one winter morning. Over the next 12 years, his condition worsened and he developed chronic pain.

How did you assist Butch and his family in planning his recovery?

First, I established rapport with his wife who was a retired nurse. I explained the complications from chronic opioid use and gained her support moving toward change. I assured her that Paradigm wouldn’t do anything to or for her husband without his agreement.

Using motivational interviewing at the first few provider appointments, I learned Butch missed being able to fish and shoot a black powder rifle competitively. Together we agreed these activities should be part of his desired outcomes.

With these goals and others in mind, the team proposed a treatment plan that included counseling and aqua therapy to aid him in coping with his pain. I gained Butch’s approval to discuss this plan with his provider. Once we identified the necessary care providers, Butch agreed to travel up to an hour each way for his appointments. I earned Butch’s trust as the therapies improved his chronic pain condition and general health and outlook.

To learn more about Paradigm Outcomes and how our Network Managers assist in pain management for our injured workers, visit our website or join the conversation on LinkedIn, Facebook, Twitter, or YouTube.

About the Network Manager

I went to nursing school when I was in my 30s. After six years working in the emergency room, I began a career in case management. When I lived in Florida, back in 2004, I worked for Betty Reid and was dedicated to Paradigm cases. I returned to Michigan in 2007 and Paradigm hired me to join the pain team in 2011. Although I will reach retirement age next year, working for Paradigm Outcomes is too enriching to leave.