After a heart attack give disability? This is a common question. We will understand it in more detail. An extensive heart attack can lead to irreversible necrotic changes in the heart tissues. Thus, some parts of the heart die off and no longer continue to function normally. In this regard, patients are shown disability after a heart attack.
What is disability?
Formally, any patient who has had a heart attack is disabled. This is due to serious violations of the CCC. This means that the normal blood supply to any organ or system, as it was before the heart attack, is now absent. In this regard, people who have had a heart attack often have the question of whether they can get disability after an attack?
Be that as it may, everyone should know that, without exception, all patients with a diagnosis of “extensive heart attack” have a four-month rehabilitation period with the mandatory preservation of all sick leave payments. A patient can claim disability after a heart attack (temporary, permanent) only after a specified period of time.
It is important to note that about half of people who have had a heart attack recover within 4 months or even earlier and are able to return to fulfillment of their professional obligations and independent domestic services of their needs. Other patients, on the recommendation of a specialist or personal desire, can undergo examination by a special expert commission to get a disability group.
What is the focus?
As a rule, the commission draws attention to such characteristics of the condition of a person who suffered a heart attack, such as:
- Qualification, specialty.
- Ability to perform previous professional duties.
- The level of the general physical condition (the body’s fitness for activity in other conditions).
- The ability to self-service their needs in the absence of outside assistance.
The likelihood of getting a disability is higher if a person who has had a heart attack has other diseases with a chronic course. Also, disability after a heart attack to a retiree is easier and faster.
Who can get it?
Officially, disability should be assigned to all patients, without exception. However, given the unwillingness of the state to pay for the maintenance of disabled citizens and bureaucratic delays, not everyone has a chance to receive the necessary group. The full conditions and the procedure for certification of disability after a myocardial infarction have been set forth and commented on in Resolution No. 95, which was adopted by the Government on February 20, 2006. It is on this legislative document that should be relied upon when designing a disability group.
In general, the following groups of persons can receive disability after a heart attack:
- People whose professional activity is associated with physical, psycho-emotional stress, increased concentration of attention.
- Persons who work in conditions involving changes in atmospheric pressure (flight attendants, pilots).
- Patients of retirement age.
- Persons undergoing coronary artery bypass grafting, stenting.
- Patients who have impaired body functions after a heart attack (dumbness, paralysis).
- Persons who have lost their ability to work more than half.
- Patients whose rehabilitation period is very long.
That's who most often after a heart attack is given disability. However, in accordance with a government decree, the indicated conditions and categories are not final and sufficient grounds for obtaining disability.
Disability groups after a heart attack
It should be understood that the main reason for its registration and receipt of certain pension accruals is not the diagnosis of MI, but the severity of the complications that arose against it.
A third disability group after a heart attack can be assigned to a person if he has minor cardiac abnormalities. The third group is assigned for 1 year. It is not indicated for patients who held positions that were not associated with increased attention and physical activity before the onset of a heart attack. It is generally accepted that a person who has held such a position can recover during the rehabilitation period and return to the performance of his activities.
The second group of disabilities can be assigned to the patient for 1 year if he has poor dynamics during the rehabilitation period. It is indicated for patients who, after suffering an MI, have angina pectoris, tachycardia, and so on. Such patients are advised to undergo regular rehabilitation therapy in a dispensary. A return to work is possible, but only if labor responsibilities are radically changed, and the proposed position will not be on the list of prohibited after a heart attack.
How to arrange a disability, we will describe below.
In what cases is 1 group issued?
The first group of disability can be obtained for 2 years. It is assigned to patients who have a clear change in the functionality of the body is not for the better. Such patients often experience soreness in the heart, angina attacks. Such a patient is no longer able to work fully. It’s clear to anyone who has a disability after a heart attack.
Order of registration
To obtain disability, the patient will need to follow a certain algorithm of procedures that are prescribed by law. First of all, you need to collect the entire list of necessary documentation and visit all instances. So, how to get disability after a heart attack?
To complete the group, the patient will need to provide the following documents to the federal or main ITU bureau:
- Passport and its copy.
- A referral received from a social welfare service or attending physician for an examination.
- A statement reflecting a desire to undergo a health examination. Such a statement is written to the head of the bureau. Not only the original, but also a copy of it will be required.
- Outpatient card, all available medical documents that confirm the patient’s diagnosis, as well as his state of health (original, copies).
- A copy of the work book, in which there is a stamp of the enterprise where the citizen is employed.
- A characteristic obtained at the place of work and describing in detail the working conditions of the citizen and the duties that he performs.
- SNILS.
- If the patient at the time of disability is a schoolboy, a student, then you will need to provide a detailed description of the place of study.
What group of disabilities after a heart attack to assign to a patient is decided by a special commission.
Instances to visit
It should be understood that the main and very first instance that makes the decision on the need to refer a patient to a medical examination is the attending physician, who conducts an initial assessment of the final state of health of a person who has survived a heart attack at the end of the rehabilitation period. It is important here that the attending physician may consider the patient's condition satisfactory (that is, the patient is able to serve himself and work) and simply close the sick leave.
Along with the attending physician, the first instance for a citizen is a service that provides social protection. The collection of all documents should begin with the receipt in the district dispensary of form 088 / y. It is she who represents the direction to ITU.
ITU Bureau
The next authority on the road to disability is the ITU Bureau. The patient will need to write a statement and attach to it all the previously collected documentation (copies, originals). It is in the bureau that after delivery of the documents the patient will be informed of the date when the certification will be conducted. Based on the results of the examination, the commission members will make a decision, taking into account the majority of the votes. The patient will be informed of the decision verbally and the result of the examination will be fixed with the necessary documentation.
The ITU commission has the legal and full right to send a citizen to additional medical research, as well as invite other specialized specialists who can clarify the situation due to the state of health of a patient claiming disability. The applicant, in turn, has the right to independently invite specialists of narrow qualifications, but only at his own expense.
Legal Reasons for Refusing Disability
It is worth remembering that the bureau may have good and legal reasons for refusing to apply for disability. These reasons include:
- Competently and successfully carried out rehabilitation, which guarantees the impossibility of relapse.
- A profession that is not associated with increased attention does not require a change in the type of activity or position (librarian, shiftman, and other professions).
- Preservation of labor abilities in full, ability of full self-service.
Prohibition of reinstatement
A citizen is prohibited from returning to his previous position after a heart attack, if he:
- Airline employee (flight engineer, dispatcher, pilot, stewardess).
- Courier, postal worker, seller, or occupies any other position related to prolonged standing or walking.
- An employee whose activities require increased attention in the performance of labor duties (complex equipment operator, driver, crane operator).
- It works on a rotational basis, or if the place of main work is significantly removed from medical care points.
- Carries out labor activity by the day, in shifts, on a night shift.
- It works in hazardous conditions (chemical production, toxic waste, metallurgy, heavy industry).
Responsible approach
The process of obtaining a disability group must be approached with full responsibility. Before contacting the ITU Bureau, you should collect as many medical certificates and documents as possible that can confirm the failure of the rehabilitation and the unsatisfactory state of health of the patient. If the commission refuses to receive the group to the interested person, then you can ask for a second survey. The order and grounds for this remain the same. In case of repeated refusal, the patient has the full and legally confirmed right to apply with a package of collected documents to the ITU federal unit.
Positive decision
If the examination is positive, the patient will be assigned a disability of a certain group. Moreover, disability can be obtained indefinitely (if the commission, on the basis of the documents provided, considers that in the future the patient will not be able to regain full working capacity), or for a period of 1-2 years (depending on the group). In this case, the citizen should remember that he has the right to go through a commission every year to confirm his disability, and each time during the examination you can try not only to extend the disability, but to make it indefinite.
We examined what disability occurs after a heart attack and how to arrange it.