A disability group is required for a person who, due to illness or due to treatment received, has received significant harm in relation to his health and has lost the ability to work to one degree or another. Social support, which is intended for cancer patients, makes it possible to quickly adapt to continue a normal life within the conditions that are characteristic of their condition. Absolutely every cancer patient has the right to undergo the examination he needs, as well as to submit an application to the bureau of medical forensic examination (BMSE) in order to establish a disability group.
What is this process?
The process of registration of disability in oncology is possible three months after the start of appropriate treatment. To understand this issue, as a rule, helps the attending physician, who needs to be kept informed of any nuances. During the treatment itself, it is already possible to start collecting the necessary documents and information on this issue. An oncologist plays a significant role in this, since he needs to make various extracts, as well as the results of the examinations and conclusions. In addition, this doctor must issue a special, so-called messenger, with which the patient will subsequently go to conduct a full examination.
The basic document is the result of examination and treatment by a doctor, but at the same time, information about all kinds of concomitant diseases is also required . Obligations are tests such as urine, blood and feces. In more detail about how disability is formed in oncology, we will discuss below.
Essential information about disability oncology
Diseases, which are generalized by the name "cancer", require a very long treatment, and this does not depend on the location of the dangerous neoplasm. Most often, patients need surgery, the general recovery after which occurs, as a rule, is extremely difficult and also takes a long time, and specific treatment options, such as chemical or radiation therapy, only aggravate the already difficult condition of the patients. The well-being of such people does not give them, with all the desire, to fulfill the duties of an employee in any of the industries. Making disability oncology is not an easy process.
This means a complete or partial loss of ability to work. Complex oncological conditions are capable of possessing signs of all three types of disability at once.
Despite the fact that pensioners do not have to work, they can also get a group. The maximum duration of the sick leave is four months, if you count without interruptions, and also allows you to have up to six months in the total calculation.
Legislative acts
How to determine that the patient suffering from oncology is no longer able to continue to work, and against the background of what diagnoses can such patients expect to be given disability in oncology? All of the above questions are answered in the following legislative acts:
- Decree of the Government of the Russian Federation of April 7, 2008 No. 247, which approved the list of oncological diseases that vest the right to indefinite disability.
- Decree of February 20, 2006 No. 95 “On the procedure and conditions for recognizing a citizen as a disabled person”.
- Law of November 24, 1995 No. 181- On Social Protection of Persons with Disabilities in the Russian Federation.
How to register disability in oncology? This is a common question.
A special body, which is referred to as the Bureau of Medical Social Expertise (BMSE), has the right to establish the level of disability. It will turn out to contact this institution in the appropriate direction of the attending physician, which becomes possible as part of the execution of the messenger. You can also use the services of a pension fund or contact the social protection of the population with the application of the necessary package of documents.
For a specific period
Disability in oncology, among other things, can be issued for a specific period, after which you will have to undergo the next re-examination. Repeated examination will establish whether the cancer patient has recovered for the performance of official duties or not.
The group can also be removed or replaced with a lighter or heavier, depending on the specific situation. Also, disability is unlimited, in which case re-examination will not have to be repeated.
Package of documents for disability
So how can one get disability after oncology? The list of all documents that need to be provided to the patient at the bureau of medical social examination, as a rule, includes such papers as:
- patient's passport;
- a document from the place of work about the presence of harmful working conditions;
- statement of a patient suffering from oncology;
- discharge from a medical institution;
- compulsory health insurance policy;
- referral from the hospital, as well as from the pension fund;
- results of examinations and treatment;
The results of the treatment should include all kinds of tests of urine, blood, x-rays, ultrasounds, computed tomography, medical records of the patient, epicrisis after inpatient treatment, etc.
The disability group in oncology depends on the condition of the patient.
It is sometimes possible that a job description is required. In the event that the patient already had a group, then documents proving this will also be needed as part of a repeated visit to the bureau of medical social examination.
If you can’t come to a meeting
If the patient is not able to independently come to the meeting of the commission, it will be necessary to provide a certificate of this. In a similar situation, the following options are possible:
- the implementation of the procedure in absentia, but only on the basis of documents;
- instead of the cancer patient, the filing of the paper is done by his legal representative, who is also present in the bureau on the basis of a notarized power of attorney;
- call representatives of medical and social expertise at home. Oncology disability registration can take a long time.
The quality and quantity, and therefore the credibility of the collected package of documents, is the main weapon of a person who is struck by a terrible disease and needs to be given disability. But it will be superfluous to overload the case in question with an excessive amount of research results. The most important of them are recognized only those that were obtained on the basis of recent surveys during the month, that is, they should be fresh. All previous papers and certificates should be brought with you only in case of a question about the dynamics of the development of the disease. Originals of documents must also be taken with you if you suddenly need to verify copies. The disability group in oncology is also determined by the commission.
It is important, among other things, to properly assemble your papers. Any discharge from hospitals should be placed in strict chronological order so that experts do not have to spend time restoring the chain of past events. Before going to the bureau, it is also necessary to check all the papers for compliance with the data provided in them, for example, name, date of birth and so on. But it should be noted that the commission does not always choose the side of the patient, failures also occur.
What group of disabilities in oncology is assigned to a particular patient, ITU also decides.
Factors that influence the decision of the bureau of medical and social expertise
Experts cannot act unreasonably. They absolutely for each applicant start a special personal file, where they file various papers that were submitted for consideration. Based on all this, they draw conclusions and conclusions. Any of these findings should be based on any paragraphs, articles, provisions and legislative acts.
Experts do not just announce, they make a list in their conclusion, sealing the decision with the seals, then the documents received acquire their legal implication. Is it difficult to get the first disability group in oncology? About it further.
Often it happens that the disease affects the patient so much that its obvious manifestations are absent at first glance, in such a situation, the results of ultrasound examinations, computer and magnetic resonance imaging, as well as x-ray data play an extremely important role.
What factors are taken into account?
At what stages of oncology is a disability group given?
Against the background of these cases, the following factors are taken into account:
- current stage of the disease;
- results of a survey of distant entities;
- the presence of metastases and areas of their localization;
- are there any operations in the patient’s medical biography, if so, their number should be indicated;
- which systems and organs were affected, how this affects the patient’s ability to speak, move and think;
- the presence of pain, their intensity and frequency.
Thus, on the basis of all these data, experts establish the level of restriction of the patient’s normal functioning, as well as which group of disabilities in oncology will be assigned to a person.
How is the decision made?
Experts determine the level of disability of a patient with cancer. At the same time, the question of which organ is exposed to the disease, as well as which prognoses in a given situation are given to the patient, which, of course, depends on the stage of the oncological disease, is of great importance.
What disability group is given for oncology? Malignant variants of the disease allow experts to assign a person a lifelong disability group.
There is a list of types of disease, due to which the patient’s condition is assigned to one or another group. Regarding oncology, there are three points that affect the unequivocal assignment of disability to the end of the patient's life:
- malignant formations with the presence of progressive metastases;
- benign formations that affected the brain and led to loss of speech, as well as disruption of the normal functioning of the musculoskeletal system, mental changes, which resulted in a complete disability;
- malignant diseases of the lymphatic and hematopoietic system, which caused an aggravation of the state of the body.
In all other situations, the classification of the conditions of sick patients is carried out in relation to the assignment of a disability group to them with the process of re-examination after a certain time period. Disability in oncology for pensioners is determined by the same principles.
Referral to an examination bureau, depending on the location of the malignancy
Of great importance is the information on the direct localization of the tumor in the patient. For example, on the basis of a malignant thyroid tumor, the assignment of disability can be made after surgery, as well as a general period of temporary disability lasting four months if there are indications such as:
- malignancy is not subject to any treatment and continues to grow;
- the need to start carrying out work activities;
- when a tumor interferes with the normal functioning of the respiratory functions, which is a direct threat to human life.
And when do groups 2 with oncology give disability?
In the event that a malignant tumor is found in the brain, temporary disability is granted for a period of three to four months, which is necessary to complete the examinations and conduct radiation therapy. When an unfavorable prognosis is given, then no later than four months later, you must contact the bureau of medical and social examination. Against the background of breast cancer, disability occurs under conditions such as:
- the prognosis of the disease is difficult to determine;
- the need for employment after complex operations with chemical and radiation therapy;
- the patient has experienced repeated relapses;
- after chemical and radiotherapy, enhanced progression of tumor growth continues.
In the case of such a common oncological disease as lung cancer, disability registration for patients is performed in the following situations:
- cancer with a progressive tumor process not subject to surgery;
- after a radical and complex operation to remove one lobe;
- the need to begin work duties;
- prolonged exposure to chemotherapy, or combination agents.
The stages of disability in oncology can be very difficult to determine.
Many factors directly depend on the treating oncologist, who is better than the patient is able to determine and make out the situation, as well as at least superficially, but familiar with the regulatory framework regarding the issues of assigning disability. A well-composed messenger along with the correct layout of documents is the key to success if necessary.
But an experienced specialist is unlikely to set up the cancer patient for guaranteed success in contacting the bureau of medical and social examination, since, unfortunately, the patient's expectations are not always justified.
So, what kind of disability is given in oncology?
Disability groups are usually assigned when the following indications are available:
- A moderate restriction, in other words, the presence of the first or second stage of cancer, as well as the implementation of radical methods of treatment, which include inadmissibility and a ban on hard work.
- A pronounced restriction when the second group of disability is issued, against which a permanent stay in stationary conditions of production is excluded. This occurs in the case of uncertain forecasts, as well as after the application of radical treatment or with a central location of education.
- A sharply or pronounced restriction in which the patient is assigned the first group if he is at the last stage of cancer and completely loses his ability to work after surgical and other treatment methods.
Thus, oncological disease allows experts to assign certain disability groups to the vast majority of patients who submit an application and back them up with a sufficient documentary base.
What does disability group mean and what does it give?
The process of registration of a disability group in relation to oncology enables the suffering patient to continue his treatment in the hospital or on an outpatient basis, and, in addition, thanks to this, he will be able to rest exactly as much when the patient needs it. Patients of working age will be charged, albeit at a low level, but still sufficient material support within the assigned group.
Thanks to the disability, the cancer patient receives such benefits as:
- there is an increase in the level of pension provision for persons of working age;
- for lonely patients, patronage care is provided;
- availability of benefits for payment of utilities;
- compulsory discounts, which means significant savings when buying medicines.
It will be fair to note that regardless of whether there is a disability or not, some of the drugs are given to cancer patients free of charge, and the possession of the appropriate certificate additionally allows you to save on the purchase of drugs through pharmacy chains.
When the working conditions of a sick employee are confirmed by a certificate from the production informing that the nature of the activity is associated with factors such as high temperatures, vibration, stress on the diseased organ, or if the work as a whole is related to a physically difficult type, then if disability, it becomes possible to avoid the need for labor in inappropriate conditions for the patient. After all, of course, against the background of an oncological diagnosis, such adverse circumstances should be completely excluded.
It is well known that not only the disease, but also the methods of its treatment against the background of malignant tumors have a direct impact on the well-being of patients, thus depriving them of the opportunity to lead a normal and full life. Therefore, there is a bureau of medical and social expertise, whose activities are aimed at facilitating the fate of patients by arranging for them an oncology disability pension.
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When an oncological patient who has lost his ability to work and is unable to move on his own is not able to individually arrive at the registration center, he should insist on holding the appropriate commission at home. As a rule, this does not cause difficulties, and the commission does not refuse, since the patient has the right to consider his application in any case.