Features of establishing disability in hypertension
A normal surge in blood pressure is not a reason to apply for a referral for examination. If cases of increased blood pressure recur, it is recommended to first identify the cause of this condition and undergo a course of treatment prescribed by a doctor.
In the case of even more frequent manifestations of the problem, as well as its duration, it is necessary to record the abnormal condition and establish temporary disability for the patient (usually we are talking about a certain period).
If the situation worsens, complications arise and important organs are involved in the process (brain, blood vessels, heart, etc.), it is necessary not only to reconsider the way of life and work, but also to think about assigning disability due to the person’s constant need for medications and the inability to work in the same place (for example, may prohibit hard work, etc.).
Causes of stage 2 hypertension
Narrowing of the lumens of blood vessels and slowing of blood flow are traditionally diagnosed in middle-aged and elderly people. But it is not only the passing years that cause the violation. Hypertension occurs against the background of factors contributing to the development of the disease. This:
- heredity (the more close relatives suffer from high blood pressure, the higher the likelihood that you will encounter this problem);
- lack of physical activity (physical inactivity “relaxes” the blood vessels, making them inelastic and fragile, worsens cardiac activity);
- bad habits, which include not only smoking and alcohol abuse, but also excessive consumption of salt, which retains fluid in the body;
- atherosclerosis (such a disease can be not only the cause of hypertension, but also its consequence);
- hormonal changes (pregnancy and menopause are periods during which women most often experience symptoms characteristic of arterial hypertension for the first time);
- endocrine diseases;
- kidney and genitourinary diseases;
- osteochondrosis;
- vascular disorders;
- malignant and benign tumors;
- stress of a regular nature.
Obesity is the cause of the development of hypertension (every extra kilogram is a load on the heart, blood vessels, and internal organs)
Criteria for assigning a disability group
So, from the above it is clear that it is still possible to get disability due to hypertension. However, at the ITU, commission members take into account a number of criteria by which a specific group is given. In particular:
— 3 group
is established against the background of stage 2 hypertension, if the organs are not very badly affected and the disease proceeds under standard conditions, the person can work and lead a completely normal life with some restrictions;
— group 2
is assigned to those whose disease occurs in a malignant form (these are stages 2 or 3), while heart failure and internal damage are moderate, and the treatment gives an average effect and most often the patient is incapacitated;
— 1 group
is relevant for hypertension of the 3rd or 4th degree, if the disease progresses, is accompanied by obvious heart failure, severe internal disorders, lack of a positive result from treatment, limitations in life (difficult or impossible to care for oneself, communicate, etc.).
Labor restrictions for hypertension
Thus, if you have been diagnosed with arterial hypertension, this does not mean that you will immediately receive a disability group. At the same time, with such a diagnosis, you need easier working conditions. If you have stage 1 hypertension, you have the right to the following improvements in working conditions:
- work should not lead to severe stress;
- performance of work should not be accompanied by strong vibration or noise;
- night work should be replaced by day shifts;
- During work there should be no contact with vascular poisons.
Hypertension of the 2nd degree implies even greater restrictions on the patient’s work. Thus, with stage 2 hypertension, you cannot engage in work activities that:
- requires constant exertion of physical and emotional strength;
- associated with height, moving mechanisms, hot shops.
In addition, a hypertensive patient diagnosed with stage 2 hypertension should be able to work part-time, as well as perform reduced amounts of work that requires close attention and great stress.
The last stage of the disease is the most acute, and no matter what treatment methods are used, they will not differ in effectiveness
In stage 3 hypertension, only certain individuals, according to medical indicators, can have partial ability to work and engage in work in especially improved conditions or at home.
With all this, hypertensive patients must be registered, regularly examined, and undergo the courses of treatment indicated for them, including sanatorium-preventive ones.
Employment restrictions
Having the diagnosis and disability group in question, the beneficiary must understand that certain types of work may be contraindicated for him, for example:
- going out on the night shift;
- hard physical labor;
- long-term strong concentration of attention;
— “nervous” professions (manager, teacher, accountant, journalist, official, etc.);
- activity against a background of high temperature, high-frequency vibrations, radiation.
In general, first of all, in the hypertension group, you need to avoid any work in which there is a risk of harm to people and an emergency situation.
Examinations for disability
Hypertensive patients very often wonder what kind of examination they need to undergo, and what disability group can be assigned to them, based on dysfunctions and functioning of organs and systems. The stage of the disease is determined according to various criteria; the doctor will definitely tell you about them after the appointment. To determine the stage of the disease, it is necessary to undergo the following studies:
- ECG.
- Urography.
- Detection of cholesterol, creatine and glucose levels.
- General urine and blood tests. Ultrasound of the kidneys.
When you visit a specialist, he will tell you in more detail about the necessary research for each patient individually. In addition to these studies, doctors also pay attention to patients’ complaints, their well-being, ability to control their movements and readiness to work. The selection of an individual treatment program that could become more effective for the patient directly depends on these factors.
Based on the data obtained, as well as after examining and interviewing the patient, the patient is assigned a stage of disability, which gives him certain rights, limiting him from certain duties to the state. It is group 1 disability that is observed most often. It is prescribed to patients with the third degree of hypertension, risk 4.
Benefits for disabled people with hypertension
There are no additional preferences for the mentioned category of citizens in the law, that is, they are entitled to the same benefits that apply to other disabled people, depending on the group. Simply put, the state provides benefits and support in the form of:
— disability pensions;
— EDV — paid every month, consists of cash and a set of social services (the latter can be replaced with material compensation);
- reduced taxes or exemptions from them;
— refund up to 50% for utility bills;
— freely provided medicines, prostheses, equipment, etc.;
— free travel on public transport, or with the possibility of compensation;
— labor preferences, starting with a reduction in the working week, additional days of vacation and ending with hiring without a probationary period (more on this in the Labor Code of the Russian Federation).
How can a hypertensive patient get disability?
1. Necessary examinations
An applicant for special status must carry out a number of procedures and undergo tests, more precisely:
- do a general blood and urine test;
— donate blood to assess cholesterol, sugar levels, etc.;
- have ultrasound data of the abdominal cavity, kidneys, arteries;
— get the results of echocardiography, electrocardiogram;
- check your eyesight.
Important
! Additional manipulations can be prescribed individually to create the most complete clinical picture.
2. Procedure for processing documents
After registering with a specialized specialist, you will need to monitor how hypertension develops. The doctor records all the data in the medical record. This is necessary so that in the future it can be proven that the patient needs to establish a group.
If the condition does not stabilize or improve for a long time, the specialist begins preparing documents for the ITU. A hypertensive patient with a bypass sheet visits doctors related to his illness and receives conclusions. As a result, the attending physician issues a referral for examination.
Next, you need to collect a package of documents and attach them to the issued direction:
— patient’s passport (and copy), SNILS;
— application to the ITU in the prescribed form;
— a certificate about the conditions in which a disabled person works;
- characteristics from the educational institution (for students);
— a copy of the work book certified by a personnel employee;
— originals of certificates, doctor’s notes, etc., confirming the complexity of the condition;
— copies of previously issued ITU conclusions (if the commission is not the first).
3. Passing the ITU
Here we outline the key points:
— the date of examination will be set upon provision of the necessary documents (as a rule, you don’t have to wait longer than a month);
— during the examination, 3 experts examine the patient, ask questions (questions relate to different areas of life) and form a conclusion based on the protocol;
— an independent specialist can be invited to the commission, and within the framework of the procedure he will be endowed with the same rights as members of the ITU Bureau;
— now it is possible to obtain a disability without personal presence only taking into account the documents provided, but the preference of an absentee examination is available for citizens living in difficult-to-reach areas or in other exceptional cases;
- most disabled people receive a group for a year (usually groups 3 and 2) or for several years (group 1), and after the specified period they need to go through the commission again, but in difficult situations they give indefinite status.
Passing the ITU
The decision is made by the bureau's experts, who assess the physical and mental health of the person applying. They also study the provided documents confirming this fact, find out the living and working conditions of the person.
The final verdict is made by voting, the entire process of the commission meeting is recorded in the minutes, and the result is recorded in the patient’s personal file. In case of heart disease, disability is awarded for 12 months, so the patient regularly needs to undergo re-examination.
After submitting the application, he will receive a date and time when he will need to appear again at the ITU office to receive the results. The decision is made within 30 days from the date of consideration of the application.
Can they refuse?
Sometimes heart disability may not be granted for several reasons. Most often, such situations occur due to the fact that the patient did not collect a sufficient number of papers or did not provide a complete set of documents.
Also, a medical and social examination may refuse if the patient has stage 1 hypertension without accompanying complications, since at this stage the disease does not interfere with a person’s work and everyday activities.
With stage 2 hypertension, the answer is also sometimes negative, but here the situation is already controversial. If the patient does not agree with the verdict, he submits an application to have his case reviewed.
- Treatment of stage 2 hypertension with medications: indications, selection of tablets, contraindications
If the result remains the same, you can submit an application to higher bureaus. If there is no result, they go to court and obtain disabled status through legal proceedings.
