Hypertension is difficult to fully work due to the constant jumps in blood pressure. A patient who has suffered a hypertensive crisis, temporarily can not engage in physical, mental work. If with hypertension of the 1st degree the health indicators are not critical, then by the 2,3 degree of the disease the patient becomes disabled. Does disability give hypertension? What degree of disability can be obtained when the patient has a pathologically increased pressure?
The stages of hypertension and the ability to work
In total, 3 stages of hypertension are distinguished, which differ in terms of pressure, health risks, complications, consequences in the absence of treatment. To what extent do hypertension cause disability? Basically, we are talking about 2,3 degrees of hypertension. It is possible that an individual reaction of the body to jumps in blood pressure will lead the patient to disability at the 1st stage of hypertension.
What happens to the body at different stages of hypertension? In hypertensive patients of the 1st degree are noted:
- Regular jumps in pressure upwards from the initial indices of 140/90 mm Hg;
- Desires for vomiting and nausea;
- Headaches, heartaches;
- Impaired thinking;
- Reduced performance;
- General deterioration of health.
At the first stage of hypertension, there are no functional changes in the myocardial muscle. The only thing that hypertensive heart rate rises. If we talk about working conditions, then with stage 1 hypertension it will be difficult for a person to work in shifts, at night, in noisy dusty production, as well as in a nervous, stressful environment.
At stage 2 hypertension in patients, cardiovascular activity is impaired. The risk of hypertensive crisis, myocardial infarction, stroke increases. The patient is forbidden to work in conditions of heavy physical labor. Permanent mental, emotional stress is not allowed. The cardiovascular system “can not stand” labor at altitude, at elevated temperatures, when working on special equipment. Stage 2 hypertensive patients receive disability and may work part-time.
If the patient has the 3rd stage of hypertension, then he is considered disabled. Such a person does not have the right to hire. Any work, whether physical or mental, can lead to health risks. The reason is blood vessel damage, complete or partial decrease in vision, digestive disorders, tendency to hypertensive crises, vascular pathology, inflammation of the kidneys.
Disability with hypertension of 1 degree
In hypertensive patients of the 1st degree, reference indicators of blood pressure (BP) are in the range from 140/90 mm Hg. and higher. In the absence of treatment with antihypertensive drugs, the pathology quickly passes into the second stage – the pressure rises to 160-180 / 110 mm Hg.
Despite the constant jumps in blood pressure, a person’s working capacity is fully preserved. Patients are allowed to work in industrial enterprises, engage in heavy physical labor. As such, there are no factors that can aggravate hypertension of the 1st degree.
Is a degree 1 disability group given? No, they do not, because there are no good medical reasons for this. Disability is understood as a restriction on the performance of a certain type of activity. If in hypertensive patients the disease at the initial stage goes away without serious consequences and health risks, then a disability group is not assigned. Cardiologists recommend that these patients undergo a clinical examination once a year.
Disability with hypertension of 2 degree
In the second stage of arterial hypertension, pressure very rarely returns to healthy levels. Most often, it turns out to stop the jump. Blood pressure at a value of 160/100 mm Hg. The patient must necessarily support the work of the cardiovascular system with drugs and a healthy lifestyle.
Patients with a second degree of hypertension are registered with a cardiology clinic and are examined once a year. Do disability with hypertension of the 2nd degree give? The third group of disability is assigned to patients with persistent violation of the basic vital functions. Disabled persons must undergo a rehabilitation program.
Basically, patients who need to select adequate working conditions (while maintaining work) go through the establishment of a disability group. It must be understood that the violation of medical prescriptions leads to aggravation of the course of the disease and its transition to the third stage.
Disabled people of 3 groups are not recommended to work in conditions of increased noise and vibration, in a state of physical and mental stress, in conditions of height. Formally disabled person can work no more than 7 hours a day.
Does disability with hypertension give malignancy? If a patient is diagnosed with a malignant form of hypertension, then group 2 of disability is assigned. Every year, patients with the 2nd, 3rd group of disabilities need to undergo a medical examination.
Disability with hypertension of 3 degree
Grade 3 hypertension is very difficult for the health of patients. In hypertensive patients, arterial pressure is constantly increasing and even with the help of antihypertensive drugs it will not reach 120/80 mm Hg.
The patient is disturbed by paresis, paralysis, fainting, convulsions, impaired speech, blurred consciousness, impaired coordination of movement. The hypertonic cannot take care of himself and provide for the basic necessities of life – he needs help. Arterial hypertension in the third form of the course is complicated by myocardial infarction, edema of the upper respiratory tract, suffocation (cardiac asthma), decreased vision (up to blindness), renal failure, cerebral stroke.
Does disability with hypertension give grade 3? Patients are assigned 1 group of disability. They are considered completely disabled. The patient should undergo special rehabilitation procedures to avoid death.
After the patient undergoes a full medical examination for hypertension, he is sent to the conclusion of the commission. The medical commission considers the patient’s card and takes into account a number of factors in the course of the disease:
- Severity of the disease;
- Well-being of the patient;
- Complications of pathology;
- Anamnesis (what diseases of the cardiovascular system were before);
- The number of transferred hypertensive crises.
Damage to target organs is understood as pathologies of the brain, myocardial tissue, kidneys, and organ of vision as a result of high blood pressure. In hypertensive patients, changes such as:
- Left ventricular hypertrophy;
- Violation of the diastolic function of the heart;
- Heart failure;
- Damage to blood vessels;
- Cerebral hemorrhage;
- Ischemic stroke;
- Hypertensive encephalopathy;
- Atrophic changes in the brain;
- Renal failure.
The above pathological changes occur with arterial hypertension of the 2nd, 3rd degree. Do disability give hypertension and which group? If a person has a 2 degree of hypertension, which is officially established, then he is assigned a 3rd disability group. A person complains of heart and headache, nausea, vomiting, dizziness, decreased visual acuity, but these pathological changes are not critical.
Disability group 2 is established for patients with a malignant form of hypertension. At the same time, target organs are rapidly affected in a person, due to which working capacity is reduced. Drug treatment does not have persistent effectiveness, but only supports the work of the cardiovascular system.
Disability group 1 is assigned to patients with a third degree of hypertension. The disease progresses intensively in patients, target organs are affected by 90%, heart failure is pronounced, a person is not able to service himself.
To arrange a group of disability, the patient needs to see a cardiologist. The specialist will give directions for analysis, research, appeal to the health commission. In addition to analyzes, the commission takes into account the general well-being of the patient, anamnesis, risk factors, complications, the number of transferred hypertensive crises, the degree of damage to target organs.
Hypertonic is sent for urine, blood, ECG, cardiography, ultrasound of the heart, examination of the optic nerve and the apparatus of vision, ultrasound of the kidneys, ultrasound of the gastrointestinal tract. If necessary, the patient is consulted by narrow specialists – a neuropathologist, endocrinologist, nephrologist and others. This is necessary in order to determine the degree of damage to target organs.
In conclusion, we recall that hypertension is a serious disease that requires treatment. Pathology very quickly moves from one stage to another. The patient’s blood pressure rises from the values of 140/90 mm Hg. up to 220/110.
The disability group is determined by the general well-being of hypertension, impaired heart function, the degree of damage to vital organs. In the first group of disabilities, a person is helpless, needs support and assistance from the outside. With the 1nd category of disability, hypertensive patients can perform lightweight tasks without physical and psycho-emotional difficulties. With the 2rd – disability with the right to lightweight labor remains.
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