The decision on rejection is made by ITU and is based on:
- Lack of components in professional activity that entail emotional and physical overload;
- Effective treatment, the effect of which prevents the risk of relapse;
- Retaining the ability to function independently.
The matter may not reach the examination: the attending physician closes the sick leave sheet on the basis of improving the patient’s well-being and recovery. Therefore, you need to contact other bodies responsible for disability issues upon receipt of a referral from a doctor.
The law determines the sequence of instances to appeal in the following order:
- ITU Bureau;
- ITU Headquarters;
- Reconsideration at the ITU Head Office by a different panel of specialists;
- ITU Federal Bureau;
- Court of the Russian Federation.
In case of refusal to appoint a disability group after a disease, the patient has the right to appeal the decision of the ITU commission on the basis of his own written statement submitted to the institution where the examination was carried out. Within 3 days, the document is sent to the main ITU bureau, and then within 1 month the patient will be assigned a second examination. In addition, it is possible to appeal the decision of ITU with a refusal to assign a disability subject to an independent examination or in a judicial proceeding.
Does myocardial infarction entitle pensioners to disability
Analysts have found, after various studies, when they combined the facts and indicators, how “younger” myocardial infarction was. More and more young people are in hospital beds with such a serious illness. This does not mean that the elderly ceased to be ill. This category of citizens is in all risk groups due to a weakened organism, whose protection has ceased to act on emotional and physical overload.
The retirement age is named because people begin to receive content from the state. This fact does not become an obstacle to determining the disability group after a heart attack. For the older generation, according to general medical rules and regulations, appoints an MES group according to the real state of the organ, the level of its damage. Social privileges and the degree of state assistance for the elderly have a different framework in comparison with young people.
There are legal restrictions on old-age and disability pension payments. Two material contents are laid to people who were injured during military operations or to participants in the Second World War. If a person does not belong to these categories, he can choose which one pension to receive, usually the emphasis is on the larger one.
The disabled person will be charged additional cash payments depending on the group and social grants of different sizes. They are expressed in the provision of free medications, directions for free trips to sanatoriums. For these cases, clinics draw up contracts with a number of health-improving enterprises.
Hazardous activities after a heart attack
Postponed heart attack imposes restrictions on the activities performed. In order to prevent repeated attacks, a person must exclude work from life:
- Associated with psychological and emotional overload (leadership positions);
- With an irregular schedule (dispatchers, entertainment workers);
- Assuming interaction with harmful substances and materials (chemist);
- Requiring constant stay on their feet (waiters);
- Carried out at altitude and associated with high atmospheric pressure (air transportation, mountain climbing);
- Potentially hazardous (vehicle drivers);
- Remote from urban areas with medical posts (geological professions).
Disability after myocardial infarction and stenting imposes a restriction on some professions. The list indicates jobs that are not recommended, since with such employment, the likelihood of recurrence of a heart attack and the appearance of complications increases. The list of professions is compiled on the basis of the following areas:
- work with long physical work (couriers, sellers);
- with daily schedules or night shifts (police officers, security guards);
- with the need for cognitive stress (drivers, crane operators);
- work related to flights (pilots, cabin crew).
It will be necessary to abandon places where working conditions are harmful (metallurgy), or the employee goes on a shift service to a point far from the city.
Stenting procedure and its consequences
When performing minimally invasive surgery, it is necessary to install a stent in the area of the coronary artery, narrowed under the influence of atherosclerotic plaques that destroy the walls of blood vessels. Surgery is not an excuse to recognize a person as disabled. After healing of damaged organs, patients return to normal life.
Time for rehabilitation is determined by the level of the ischemic focus of vascular lesions, pathological accompaniments and the ability of organs to fight for survival. From stenching, the patient has a feeling of complete recovery. But surgical intervention relieves the symptoms, the doctor’s actions, no matter how competent they are, can not bring a full recovery.
The patient is prescribed wellness procedures or activities that he must strictly observe:
- prescribe a special diet;
- exclude physical activity;
- recommend getting rid of bad habits – smoking and alcohol.
The appointment of the group occurs after a worsening condition with a diagnosis of heart attack. Obtaining a disability does not mean that it is for the rest of your life. A person is under the constant supervision of doctors, every year he goes through a thorough examination by his attending physician or collegial on the commission. Depending on the results obtained, procedures are prescribed. After confirmation of the lack of improvement, disability is prolonged or its level is reduced.
Retired from such views. Persons over 50 years of age can not be confirmed disability, but re-examination should be carried out. They are under medical supervision until the end of their life’s journey. If the patient does not agree with the verdict of the medical commission, he can appeal it in the ordinary court of law. He is prescribed a second independent examination.
Re-examination at ITU
Sometimes the first group is assigned for life due to the particularly difficult condition of the patient. In this case, ITUs are held one-time without the need for re-examinations. At the same time, there remains the possibility of undergoing the procedure on his own initiative: if the patient, due to changes in well-being, wants to do this, he can write a statement and go through a commission.
A more common case is the first group of disability for two years. This is more than for the second and third (they are assigned for a year), but with the need for re-examination after the deadline. The patient reserves the right to re-examination: this is not necessary, but is possible if there are appropriate recommendations from the doctor.
Upon re-entry, ITU provides the same documents as on the initial application. At the same time, information on rehabilitation measures carried out during the year (two years in the case of the first group) and which did not bring the desired result must be applied.
Obtaining a disability group after myocardial infarction is possible, but not guaranteed to anyone. Denial of assignment means that the treatment has had a positive effect on the state of health and the patient’s heart is safe.
Recognizing a person as disabled makes him temporarily unemployed and makes it possible to receive payments from the state. Most importantly, the decision of the experts should reflect the real state of things and be adequate in relation to the capabilities of the patient.
The first group is drawn up for a period of two years. The second and third require a person to be examined every year. In such cases, you will need to collect the same package of documents. The map should have marks that indicate that a person has undergone all the restoration procedures that the commission had previously appointed. An employer is required to provide a statement establishing the working hours.
Among people who have had heart disease, there are a large number of patients of working age. Due to many factors and circumstances, most of them are willing to work in the future. But doctors recommend at the end of the rehabilitation period to avoid hard physical work, stressful situations and other factors that have a negative effect on the heart and provoke disability after a heart attack that has recurred.
It should be taken into account that among people who are interested in how to get disability after a heart attack, there are many patients of retirement age, since they have a much higher risk of developing complications. Even the slightest experience or physical overstrain can extremely negatively affect the work of the cardiovascular system.
Is a group given after a heart attack? It should be noted that not everyone receives it. So, according to statistics, only 10-15% can get it after shunting. But it is also suitable for patients who have had no less serious illnesses (for example, cerebral stroke, complications caused by diabetes).
How does the disease develop?
Heart attacks are a common type of disease, only the severity of each is different. According to medical statistics, 50% die before they have time to seek medical help or get to the hospital – death occurs in an ambulance. Postoperative complications are also dangerous. The disease develops gradually. The coronary arteries are affected, they become clogged, and should supply the heart with blood, transmit oxygen along with the fluid to the organ. As a result, tissue sections are formed to which the supply of the necessary nutrient does not reach or is received in insufficient quantities.
From complete or partial bleeding, begin:
- sharp pain in the heart;
- pain gives to the left limb;
- goes to the shoulder blade;
Nitroglycerin ceases to help, as it used to relieve severity with angina pectoris. An irreversible process occurs in the heart muscles, after 20 minutes there is no nutrient, necrosis or complete death begins in the tissue areas. A formed scar forms there after a certain period, and it will never replace a healthy muscle, since it will not be able to work fully. Places in size and breadth are different, the degree of damage can be large or a diagnosis of microinfarction is established.
A dangerous area for localization is the front wall. Patients begin to feel very hard, up to a loss of consciousness, so painful cardiogenic shock. A positive outcome is considered to arrive alive in the hospital after such symptoms. In a medical institution, a long process begins, even after recovery, you need to learn how to re-move around the ward.
The Commission takes into account:
- functional heart failure;
- result of rehabilitation;
- working capacity of the patient by labor history, education, length of service, official position;
- the ability to live in new conditions, to serve yourself.
The level of limitedness in life is assessed, given:
- the nature and duration of pain;
- the difficulty of moving ordinary and when climbing stairs;
- arrhythmia, extrasystoles, cardiac interruptions;
- ECG changes, echocardiography;
- stress tests.
No matter how severe the disease, doctors prove: after a heart attack, life continues, people perform certain tasks and duties. Only in positions without increased psycho-emotional stress, can any shock lead to relapse, a direct threat to life.
What is forbidden to do?
People who have suffered a heart attack are not allowed to engage in several types of work: driving air vehicles, certain types of ground transportation, working in difficult conditions, and repairing electrical equipment. It is also not recommended to carry out any work at height, to move too often, contact with chemicals should be avoided. Doctors do not recommend working by name or in factories with a busy schedule.
Regardless of the severity of the state of health, the predisposition of the body to heart attacks, after treatment, rehabilitation, disability – all this requires certain restrictions not only in food, cigarettes and strong tinctures. It is necessary to carefully approach the choice of occupations if there is not enough government content to exist.
Doctors prohibit working in industries where:
- increased danger; you cannot be a driver of vehicles;
- the need for strict attention and nervous tension – dispatchers of transport companies;
- in aviation organizations as pilots, stewardesses, flight mechanics;
- in institutions where you need to walk for a long time or perform duties while standing – postmen, cooks, couriers, sellers;
- far from the area of residence – geological, survey parties;
- the danger from toxic agents with which it is necessary to come into contact during production processes, in harmful conditions – the industry of a chemical, metallurgical nature;
- night shifts, mesh;
- with high-altitude events.
When a person is assigned 1 group, it lasts 2 years until the first examination. The remaining groups are determined for the year. When a citizen in serious condition has the right to MES employees to make a decision on the design of a life group. They come from a further possibility of recovery.
Every year, patients who are intended to be in an urgent group are examined. It should be borne in mind that ITU staff do not require to appear on the commission so often to confirm the status of a disabled person. The attending physicians themselves recommend such examinations, they give directions to their patients. They indicate in detail about the completed rehabilitation procedures for a specific recovery period and the current condition of the patient, which requires re-examination.
Re-preparation for the commission takes place in the same manner as during the initial examination, they collect completely all materials on the disease with all the ensuing consequences and results. If the disabled person continues to work, reflect the conditions of his work, transfers with marks and the signature of the head. In the rehabilitation card, the frequency of visits to clinics or home preventive examinations by the attending physician is noted.
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