How to register disability after a stroke for a pensioner? We will examine in more detail in this matter. Stroke is a dangerous disease with an acute disturbance in the blood circulation of the brain. This condition develops in connection with blockage of blood vessels or their damage. Most often, people in old and old are exposed to it.
Disability after a stroke is not excluded.
What kind of ailment?
Stroke is an extremely dangerous condition that takes second place in the number of deaths. Among the diseases that lead to disability, he ranks first.
In the event of a stroke, the patient is required to provide emergency medical care, which must be provided within the first three to eight hours. Even in situations where help was timely and the patient was still alive, the consequences can still be extremely dire. For example, a partial, and in addition, a complete loss of motor functions is not excluded, which can lead a person to absolute disability.
Disability after a stroke is quite possible for pensioners to register.
According to statistics, eighty percent of patients are assigned disability immediately after a stroke. Many of these patients require regular care throughout their remaining lives. Only a fifth of people are able to return to a more or less normal working life as before, but only after passing the necessary rehabilitation measures. Making a disability after a stroke is not uncommon.
Thus, depending on the severity of the condition, patients can be assigned the first, second or third group for disability.
What are the types of stroke?
Stroke is usually of two types. So, a hemorrhagic and ischemic form is distinguished:
- Ischemic stroke. This type of disease is considered the most common. It includes about eighty percent of all cases. More often, such a stroke occurs in older people. It is also commonly called brain infarction. It can occur due to disturbances in the blood circulation of the brain due to narrowing of the gaps in the vessels, and in addition, when they are clogged by blood clots. As a result of this, part of the brain simply ceases to be supplied with blood supply, due to which there is a complete death of the tissues of this region.
- Hemorrhagic stroke. Against the background of hemorrhagic stroke, rupture of the vessel occurs along with hemorrhage in the brain. That is, a stroke occurs due to a rupture of a brain vessel. There are two varieties of such a stroke: cerebral hemorrhage and subarachnoid outflow. The first is considered the most common and, as a rule, is formed in people aged about fifty years. Its main cause is hypertension, much less often a factor for its development is atherosclerosis. The second type is hemorrhage into the space located between the membrane of the spinal cord and brain. In this area there is cerebrospinal fluid, which is a cerebrospinal fluid. A similar stroke can occur even at the age of thirty. Its main causes are arterial hypertension along with smoking, alcoholism, taking large doses of alcohol at a time, and the like.
Who is given disability after a stroke?
Not all patients can apply for disability.To obtain it, you need medical indications. Disability is assigned according to federal law on the basis of the results of all examinations passed. As a rule, it is assigned to those patients whose brain has not fully recovered, but also to those who have impaired movement with speech and other functions.
The first group of disability after a stroke is prescribed to those patients who have completely lost the ability to take care of themselves and they need regular help and care. It is also prescribed to those patients who can partially serve themselves, but at the same time they need to provide the necessary social and domestic functions. What other disability group after a stroke can there be?
The second group is assigned to patients who are characterized by persistent and severe dysfunction, but at the same time they can serve themselves.
The third group of disability after a stroke is assigned to patients with moderate impairment and functional limitations that may disappear in the long run. In such situations, disability may persist, but some types of work are prohibited.
How can I get a disability?
Many people wonder what disability is assigned after a stroke? Every patient with the appropriate medical conditions has the right to benefits. A special commission is engaged in the assignment of a disability group. During special examinations, the condition of a patient is assessed along with his ability to work, and in addition, restrictions on physical activity are prescribed.
As a rule, registration of disability is a long process. Such patients need to get a referral from their attending physician for a medical and social examination. Next, you will have to pass tests, and in addition, undergo examinations. Thus, you will have to prepare the following package of documents:
- Disability Application.
- Referral from the attending physician for an examination. The direction must be signed by the head physician along with the seal of the medical institution.
- The results of the examinations, as well as those tests that are not in the medical history.
- Outpatient card from the clinic in which the patient undergoes treatment.
- Identification.
- In the event that a person is employed, you will need a copy of the work book, and in addition, a salary certificate.
- A sick leave certificate (if one exists) along with a certificate of occupational diseases and injuries.
Any examinations can be done in a clinic or in a hospital if a person can move around. A referral for examination is issued at the clinic immediately after the medical history and results of the tests are reviewed.
Next, the patient will be assigned the date of passage of the commission, which usually consists of three specialists. On the basis of all the documentation provided, they will make a decision on assigning a patient a disability or on refusing it. As part of the examination, all conditions in which the patient is located are analyzed. So, household, labor and social factors are considered.
How to register disability after a stroke to a bedridden patient?
Due to the patient’s lack of ability to move independently, an official representative is appointed. Documents are executed in the following order:
- You need to get a referral to MSEC in the district clinic. If there are serious violations of motor functions, then you can contact the department of social protection or pension provision. To do this, documented health problems.
- Social workers prepare all the necessary papers and issue a referral.
- An expert commission is invited to the house in order to examine the condition of the patient and assign him a disability.
How to define a group?
A group is usually determined according to the following categories:
- The degree of dependence of the sick person from others.
- The level of limited ability of the patient to carry out self-care.
- The ability to move independently.
- The ability to freely navigate in the surrounding space.
- The ability to control your behavior.
- The ability to communicate with others.
During the examination, an event protocol is compiled. In case of assigning a person a disability, just like in case of refusal, draw up an act, which is an official document.
After receiving a disability group, a person is required to contact the pension fund in order to receive a pension. In addition, you should apply to the social fund in order to receive appropriate benefits.
In the event that the patient was denied the assignment of a disability, and he does not agree with the decision of the commission, he has the right to submit a written application to the medical examination bureau within three days in which he was examined. Thus, the patient may require a re-examination. If the citizen’s response doesn’t work again, you can try to appeal the opinion at a different level - directly at the Federal Bureau of Medical Expertise.
Who is more likely to have a disability?
In the event that a person’s disability is not lifelong, then he needs to undergo an annual examination in the presence of a second or third group. If the first group has been assigned, then it will be required to undergo an examination once every two years. This event is assigned to track the positive dynamics, and in addition, the possible revision of the previous result. The annual survey may be canceled if the women are fifty years old and the men are sixty years old.
More likely to receive a disability group, as a rule, patients from the following categories:
- Patients who had a stroke before and did not recover.
- Hypertensive patients.
- Patients suffering from various disorders in the functioning of blood vessels and the heart.
- Patients suffering from renal failure.
- Patients diagnosed with diabetes.
- Patients who suffer from chronic pathologies that limit their normal functioning.
- Patients with bad habits.
It is important to know that disability is given after a stroke.
The essence of the medical-social examination procedure
Depending on exactly what the patient’s disorders in body functions have occurred, as well as what limitations have occurred as a result of a stroke, a patient who is recognized as a disabled person is assigned a particular group. In the event that such a patient is not yet eighteen years old, then he is recognized as a disabled child.
In the event that the patient does not have a specific place of residence, then for the passage of the commission he is sent by the social protection service of citizens.
It is imperative that people with disabilities of the first group of disabilities after a stroke undergo a re-examination once every couple of years. Patients of the second and third groups, as already noted, this should be done every year. This is, first of all, necessary so that the medical commission has the opportunity to monitor certain deteriorations or improvements in the health status of citizens. Thus, depending on the results of a newly conducted medical examination, disability can extend or revise its relevance.
What is the basis for recognizing a patient as disabled?
The reasons why patients can be recognized as disabled are as follows:
- Deterioration of health.A person is recognized as disabled in the event that he has a strong deterioration in body functions, which was caused by acute consequences due to defects or injuries after a seizure.
- Partial or complete loss of opportunities for self-care, and in addition, independent movement along with orientation in space, loss of speech and control of behavior.
- The presence of a negative course of heart disease along with repeated impairment of blood flow in the brain.
- The presence of strokes, previous.
Can I get a medical commission at home?
Medical and social examination can be passed at the place of residence or at the place of registration or according to the attachment to the medical organization. However, in the event that a healthcare organization makes a conclusion about the patient’s inability to attend a medical examination because of his health condition, then there is the opportunity to undergo a commission for examination at home or in a hospital.
The medical commission can be carried out in absentia according to the documents provided, and in addition, in the direction or by written consent of the attending physician. In the corresponding direction, there must be a note on permission to conduct this event at home.
What types of labor are prohibited after a stroke?
In cases of continued disability, for example, against the background of the third group of disability after a stroke, there are types of activities that are prohibited for such patients:
- Activities related to stressful situations.
- Activities related to physical stress.
- Activities on the street. In this case, temperature differences can cause a hypertensive crisis in patients.
- Activities related to the interaction with toxic substances.
- Work that requires keeping the neck in constant tension. So there is no doubt whether disability after a stroke is given in this case.
Finally
This or that case of a stroke needs to be considered individually. It is difficult to immediately determine whether a person is supposed to have a disability group or if this is not necessary. In any case, for this, first of all, the passage of the medical commission is appointed, after which the specialists will be able to make an informed decision.
We looked at how to get disability after a stroke.