An employer takes a worker as he finds him or her, and a worker who is more susceptible to injury is entitled to no less protection under the Louisiana Workers Compensation Act than a healthy one. This holding comes from a Louisiana Appellate decision that supports the concept that employees, who are injured in the course of employment, are to be provided appropriate compensation and medical care. A recent 2nd Circuit Court of Appeals Decision explored workers compensation in Louisiana, and the elements necessary to obtain compensation, despite underlying health risk that may have helped create the injury in question. In Lloyd v. Shady Lake Nursing Home, the nursing home sought for the court to apply the Louisiana Worker's Compensation Act, in order to avoid having to pay higher damages to the surviving spouse and family under a negligence or tort based remedy.
Margaret Caldwell was the focus of the Court's analysis, and her suffered injury and subsequent death. Mrs. Caldwell, was a fifty-four year old woman, known to be suffering from morbid obesity, worked as a Certified Nursing Assistant at the Shady Oaks Nursing Home for over twenty years. One day, as she was cleaning her station, mopping the floors, she spotted a patient out of his room. She asked him to return to his room and it was at this point he attacked her, striking her in the face. Immediately following the attack, Mrs. Caldwell experienced elevated blood pressure levels and was taken to East Carroll Parish Hospital, where only a few hours later she was pronounced dead. The autopsy found the immediate cause of death to be hypertensive heart disease and coronary artery disease, with the underlying cause of death being a physical blow to the face. This last portion became the ultimate point of controversy between Mrs. Caldwell's family and Shady Oaks, as her employer attempted to rely on a specific Louisiana Revised Statute that negates workers compensation benefits for heart related illnesses or death that arises during the scope of employment. The court explores the meaning behind each element of workers compensation and definitional terms in order to formulate their decision.
To begin with, the Louisiana Worker's Compensation Act, provides medical help and/or compensation or injuries or possible death that occurs during the course of employment. However, breaking this down into sections, one must understand what injury/accident legally means, and how it is measured in order to determine whether one is afforded such relief. An accident is defined by La. R.S. 23:1021(1) as follows:
"[A]n unexpected or unforeseen actual, identifiable, precipitous event happening suddenly or violently, with or without human fault, and directly producing at the time objective findings of an injury which is more than simply a gradual deterioration or progressive degeneration."
Such types of injuries are thus, protected and covered by the Worker's Compensation Act. However, there are limitations applied to certain accidents that occur under certain circumstances, even if they occur during the course of employment. of specific relevance is La. R.S. 23:1021(8)(e), which provides,
"Heart-related or perivascular injuries. A heart-related or perivascular injury, illness or death, shall not be considered a personal injury by accident arising out of an in the course of employment and is not compensable pursuant to this Chapter unless it is demonstrated by clear and convincing evidence that:
(i.) The physical work stress was extraordinary and unusual in comparison to the stress or exertion experienced by the average employee in that occupation, and (ii.) The physical work stress or exertion, and not some other source of stress or preexisting condition, was the predominant and major cause of the heart-related or perivascular injury, illness, or death."
The Court denied Shady Oaks attempt for summary judgment, based on the tenuous argument that the patient's act of striking Mrs. Caldwell should be considered an accident that aggravated her preexisting condition resulting in her stroke and heart attack. The defendants had not shown by the required "clear and convincing evidence," that the work environment was extraordinary and unusual or that the physical stress or exertion she had to perform in the course of her employment, was higher than other types of employment related duties. Thus, the court next had to evaluate the work environment, and whether the incident in question was extraordinary or whether it was a normal happening for Mrs. Caldwell during the course of her employment.
The tragic incident that Mrs. Caldwell experienced shortly before her death, was thoroughly explored by the Court. The specific patient who attacked her did not have a history of attacking nurses, however, testimony given declared such incidents of physical assault were not rare for certified nurse's or staff to experience. The court ultimately determined that reasonable minds could disagree as to whether or not Mrs. Caldwell experienced extraordinary or unusual physical work stress and whether that stress, versus her pre-existing conditions, was the predominant and major cause of her heart-related death. Yet, the court does not end their discussion there, the court desiring compensation for the loss Mrs. Caldwell's family incurred, explore an alternative avenue that is available.
Where an employee is not entitled to a remedy or compensation under the Louisiana Worker's Compensation Act, then there is no immunity in tort for the employer. Remember, that when one is afforded the worker's compensation benefits, they have traded their right and ability to sue the employer in tort for negligence. Thus, if worker's compensation is not available or obtainable, than a tort remedy is available. Thus, her family is able to pursue an intentional tort, such as battery and assault against Shady Oaks for the acts of the patient performed against the late Mrs. Caldwell.
Therefore, there are many available legal routes and avenues to pursue if the unfortunate occurrence happens that one is physically injured or is killed during the course of their employment. Louisiana affords protection to its residents, desiring compensation for losses in order to promote the public policy of having an efficient administration of justice. Thus, if Louisiana Worker's Compensation Act is not available to one who is injured or killed, than tort remedies may be available, thus, providing relief to those who would otherwise be prevented from receiving anything.