Whether the disability group is considered for systemic diseases. What diseases give disability - briefly about the important. Disability after heart surgery

Prime Minister Dmitry Medvedev signed a decree on amending the rules for recognition as a disabled person - the innovations should improve the procedure for passing a medical and social examination. The document expanded the list of diseases, defects, irreversible morphological changes, dysfunctions of organs and body systems, as well as indications and conditions for establishing the disability group and the category of "disabled child". Thus, a list of diseases has appeared in the rules, in which, already during the initial treatment, disability will be established indefinitely for adults, and for children with disabilities - immediately up to 18 years old. At the same time, the list of diseases with some changes, in which indefinite disability will be established no later than two years after the initial recognition as disabled, remained a separate block. A section has also appeared, which spells out the indications and conditions under which the category "disabled child" will be assigned for a period of 5 years or until the age of 14. In addition, there have been identified cases when it is possible to get a disability with an absentee examination. The innovations in the rules also make it possible to make changes to the individual rehabilitation or habilitation program for a disabled person without revising the disability group or the period for which it is established.

“Thus, it will be excluded the possibility of determining the period for establishing disability at the discretion of an ITU specialist,” says the explanatory note to the resolution.

So, according to the list, during the initial treatment, an indefinite disability for adults or up to 18 years old - children will be installed in the presence of the following diseases and conditions:

  1. Stage V chronic kidney disease with contraindications to kidney transplantation.
  2. Liver cirrhosis with hepatosplenomegaly and grade III portal hypertension.
  3. Congenital incomplete (imperfect) osteogenesis.
  4. Hereditary metabolic disorders, uncompensated by pathogenetic treatment, having a progressive severe course, leading to pronounced and significantly pronounced disorders of the body's functions (cystic fibrosis, severe forms of acidemia or aciduria, glutaricaciduria, galactosemia, leucinosis, Fabry disease, Gaucher's disease, Niemann-Pachick disease, mucousin , cofactor form of phenylketonuria in children (phenylketonuria II and III types) and others).
  5. Hereditary metabolic disorders with a progressive severe course leading to pronounced and significantly pronounced disorders of the body's functions (Tay-Sachs disease, Krabbe's disease, and others).
  6. Juvenile arthritis with severe and significantly pronounced disorders of skeletal and movement-related (statodynamic) functions, the blood system and the immune system.
  7. Systemic lupus erythematosus, a severe course with a high degree of activity, rapid progression, a tendency to generalization and involvement of internal organs in the process with persistent pronounced, significantly pronounced dysfunctions of the body, without the effect of treatment using modern methods.
  8. Systemic sclerosis: diffuse form, severe course with a high degree of activity, rapid progression, tendency to generalization and involvement of internal organs in the process with persistent pronounced, significantly pronounced disorders of body functions, without the effect of treatment using modern methods.
  9. Dermatopolymyositis: severe course with a high degree of activity, rapid progression, a tendency to generalization and involvement of internal organs in the process with persistent pronounced, significantly pronounced disorders of the body's functions, without the effect of treatment using modern methods.
  10. Certain disorders involving the immune mechanism with a severe course, recurrent infectious and deflationary disorders, severe immune dysregulation syndromes requiring constant (lifelong) replacement and (or) immunomodulatory therapy.
  11. Congenital epidermolysis bullosa, severe.
  12. Congenital malformations of various organs and systems of the child's body, in which only palliative correction of the defect is possible.
  13. Congenital malformations of the spine and spinal cord, leading to persistent, pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions and (or) dysfunctions of the pelvic organs, if surgical treatment is impossible or ineffective.
  14. Congenital anomalies (defects), deformations, chromosomal and genetic diseases (syndromes) with a progressive course or an unfavorable prognosis, leading to persistent pronounced and significantly pronounced disorders of body functions, including mental disorders to the level of moderate, severe and profound mental retardation. Complete trisomy 21 (Down's syndrome) in children, and other autosomal numerical and unbalanced structural chromosomal abnormalities.
  15. Schizophrenia (various forms), including the childhood form of schizophrenia, leading to severe and significantly pronounced mental disorders.
  16. Epilepsy is idiopathic, symptomatic, leading to severe and significantly pronounced disorders of mental functions and (or) resistant attacks to therapy.
  17. Organic brain diseases of various origins, leading to persistent pronounced and significantly pronounced disorders of mental, linguistic and speech functions.
  18. Cerebral palsy with persistent pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, linguistic and speech functions. Age and social skills are lacking.
  19. Pathological conditions of the body caused by blood clotting disorders (hypoprothrombinemia, hereditary deficiency of factor VII (stable), Stewart-Prower syndrome, von Willebrand disease, hereditary deficiency of factor IX, hereditary deficiency of factor VIII, hereditary deficiency of factor XI with persistent pronounced, significantly pronounced violations of blood functions and / or the immune system).
  20. HIV infection, stage of secondary diseases (stage 4B, 4C), terminal 5th stage.
  21. Hereditary progressive neuromuscular diseases (pseudohypertrophic Duchenne muscular dystrophy, Werdnig-Hoffmann spinal amyotrophy) and other forms of hereditary rapidly progressing neuromuscular diseases.
  22. Complete blindness in both eyes with ineffective treatment; decrease in visual acuity in both eyes and in the better seeing eye to 0.04 with correction or concentric narrowing of the visual field of both eyes to 10 degrees as a result of persistent and irreversible changes.
  23. Complete deaf-blindness.
  24. Bilateral sensorineural hearing loss of III-IV degree, deafness.
  25. Congenital multiple arthrogryposis.
  26. Paired amputation of the hip joint.
  27. Ankylosing spondylitis with persistent pronounced, significantly pronounced dysfunctions of the body.

There is also a list of diseases and conditions in which disability can be established by correspondence examination - there are 14 points in it.

  1. Diseases of the respiratory system with significantly pronounced dysfunctions of the respiratory system, characterized by a severe course with chronic respiratory failure of the III degree; chronic pulmonary heart failure IIB, III stage.
  2. Diseases of the circulatory system with significantly pronounced dysfunctions of the cardiovascular system: angina pectoris of the IV functional class - a severe, significantly pronounced degree of disturbance of the coronary circulation (occurring in combination with chronic heart failure up to stage III inclusive).
  3. Diseases characterized by high blood pressure with severe complications from the central nervous system (with persistent severe disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions, dysfunctions of the cardiovascular system (accompanied by insufficiency blood circulation IIB-III degree and coronary insufficiency of III-IV functional class), with chronic renal failure (chronic kidney disease stage 2-3).
  4. Diseases of the nervous system with a chronic progressive course, including neurodegenerative diseases of the brain (parkinsonism plus), with persistent pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions.
  5. Extrapyramidal and other movement disorders with persistent, significantly pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, mental, linguistic and speech functions.
  6. Cerebrovascular diseases with persistent, significantly pronounced disorders of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, sensory (vision), linguistic and speech functions.
  7. Diabetes mellitus with significantly pronounced multiple dysfunctions of organs and systems of the body (with chronic arterial insufficiency of stage IV in both lower extremities with the development of gangrene if high amputation of both extremities is necessary and the impossibility of restoring blood flow and carrying out prosthetics).
  8. Fatal fecal, urinary fistulas, stomas - with ileostomy, colostomy, artificial anus, artificial urinary tract.
  9. Malignant neoplasms (with metastases and relapses after radical treatment; metastases without an identified primary focus with treatment failure; severe general condition after palliative treatment; incurability of the disease).
  10. Malignant neoplasms of lymphoid, hematopoietic and related tissues with pronounced symptoms of intoxication and a serious general condition.
  11. Inoperable benign neoplasms of the brain and spinal cord with persistent pronounced and significantly pronounced disorders of neuromuscular, skeletal and movement-related (statodynamic) functions, mental, sensory (vision), language and speech functions, severe liquorodynamic disorders.
  12. Epidermolysis is congenital bullosa, generalized moderate-severe, severe forms (simple epidermolysis bullosa, border epidermolysis bullosa, dystrophic epidermolysis bullosa, Kindler syndrome).
  13. Severe forms of psoriasis with persistent pronounced, significantly pronounced disorders of body functions, not controlled by immunosuppressive drugs.
  14. Congenital forms of ichthyosis and ichthyosis-associated syndromes with severe, significantly pronounced dysfunction of the skin and related systems.

It is noted that, when establishing disability during an absentee examination, in addition to a serious health condition, ITU specialists will take into account living in remote and hard-to-reach areas. Also, as stated in the text of the document, a medical and social examination can be carried out in absentia if the rehabilitation or habilitation of a disabled person did not bring positive results.

Dr. Peter

Let's talk about an unpleasant, but taking place, phenomenon - disability. What is it, for what diseases do they give disability, how to issue it? In general, this condition means disability. With a little reservations, we will also accept the condition of disability is characterized by the presence of a chronic disease or pathology.

To draw up all the relevant papers and become officially disabled, you must go through a medical and labor expert commission (abbreviated as VTEK). In order to pass it, you need to take a referral from your attending physician-therapist at the clinic at your place of residence. With this referral and an identity document and an application, you must contact the medical institution to which you belong at the place of residence. Each such institution usually has a list of diseases for which disability is given.

According to the regulations, the examination is carried out no later than a month after the submission of documents. In fact, the regulations are rarely observed, more often people have to wait longer.

The examination itself - a commission of three people will decide whether you are disabled.

She will also determine your disability group and issue an appropriate certificate upon completion of the examination.

What diseases give disability:

· Malignant tumors;

· Benign tumors that have led to pronounced damage to the functionality of the body;

Dementia;

· Removed larynx;

· Diseases of the nervous system;

· Neuromuscular diseases (hereditary);

· Complete blindness or deafness;

· Diseases accompanied by high blood pressure, in case of complications in the central nervous system;

· coronary artery disease;

· Respiratory tract diseases with complications;

· Fecal fistulas, which cannot be eliminated operable;

Renal failure;

· Congenital anomalies due to which the musculoskeletal system is damaged;

· Defects of the upper and lower extremities (for example, amputation);

· Trauma of the brain or spinal cord with pronounced damage.

This is a general list, groups are given according to the severity of these diseases.

People who receive the first group cannot take care of themselves, they constantly need the help of other people.

The second group is characterized by moderate severity of diseases, a person does not need the help of other people all the time. Some activities are even available for this group, however, a specially equipped place and working conditions are required.

The criteria for disability of the third group are as follows - a person does not need outside help, but cannot work in his main specialty.

The commission also assesses the ability to communicate, work, self-service, movement, orientation and learning. Based on all these factors, a decision is made and the person receives an appropriate certificate. It will indicate the group, the validity period, at the end of which you will need to go through the commission again. Sometimes you have to wait for this document for several months, so be patient. Disabled people of the first group pass the commission once every two years, and all the rest - once a year. However, there are some categories of persons who do not need to undergo an examination. For what diseases is disability granted indefinitely? With the same from the above list, but with reservations. For example, you are entitled to indefinite disability if you:

A man over 60 or a woman over 55;

Over the past 15 years, they have not changed the disability group or changed to a more severe one;

A man over 55 or a woman over 50 and for 5 years your group is the first;

Disabled - servicemen (including WWII veterans) who were wounded and injured during military operations.

The certificate will be accompanied by a list of the rehabilitation measures that are shown to you.

With this document, it remains only to apply to the social protection authorities at the place of residence in order for you to issue an appropriate pension.

Persons with chronic diseases, consequences of trauma or congenital disorders need social protection and medical assistance. Obtaining the status of a disabled person gives the right to payments, the possibility of expensive rehabilitation and benefits.

However, not all disabled citizens are eligible for a group. It is important to know for what diseases disability is given, what reasons are indicated in the ITU certificate (medical and social examination) and how the examination procedure depends on the diagnosis and the person's condition.

Reasons for group registration

In Russia, there is a classification of the reasons for which a citizen is issued a disability. It is based on the following principle: in what conditions, age, the person has lost the ability to work. Disability for a general disease is formalized in cases where a person has not been proven to have an occupational disease or injury at work.

In other cases, the reason for the incapacity for work will be indicated as follows:

  • Disability from childhood - for persons certified by the ITU under the age of 18.
  • Labor injury.
  • Occupational disease.
  • A military injury or illness that occurs during military service.
  • Illness during a disaster at the Mayak production facility.
  • Radiation sickness in military service as a result of being near an object.
  • Disorder received during military service in the elimination of man-made disasters.
  • A disease received by a soldier in the performance of his duties, including in units of special risk.
  • Other reasons specified in the legislation of the Russian Federation.

To confirm the fact of an adverse effect at work, service, at home, a citizen is obliged to submit documents to the medical and social examination (or MSE). Then the person will be entitled to a pension in a larger amount than just in case of established incapacity for work.

Speaking about the ailments that give the right to receive a group, it should be noted that the commission always takes into account the functional state of the patient: how pronounced are the violations, can the condition be improved with the help of rehabilitation, is there any development of complications, are there any concomitant disorders.

People with disabilities sometimes "compare" their conclusions and wonder why one person with the same formulation of the diagnosis was assigned a higher group and another lower. It is incorrect to talk about the disorder with which the patient will be given this or that degree of disability.

List of diagnoses that give disability

The list of diseases for which disability is given describes in detail all possible conditions and disorders. So, when establishing disability due to damage to the respiratory system, the issue of disability is considered in the presence of the following diagnoses: condition after lung transplantation, bronchial asthma, pulmonary sarcoidosis, tuberculosis.

The list of diseases is indicated in the Decree of the Government of the Russian Federation N 95 of February 2006, which is called: "O. It is divided into headings for damage to organ systems

Heart and vascular diseases rank first as. The patient can be referred to MSE in the presence of an aortic aneurysm, artificial valves in the heart, severe arrhythmia disorders, hypertension, acute and chronic ischemic heart disease, vascular atherosclerosis.

A severe disease of the endocrine system is also regarded as an indication for examination at the ITU. Among the most common are diabetes mellitus, hypoparathyroidism, conditions after removal of the thyroid gland, and hypothyroidism. Chronic disorders of the genitourinary sphere are the basis for the registration of a group in the presence of chronic renal failure, the absence of a kidney, chronic inflammation, pathology of the genital organs.

In case of damage to the digestive system, a citizen will qualify for a pension in the presence of chronic inflammatory diseases of the intestines, pancreas, liver and gallbladder. And also this group includes severe defects of the jaws. The patient is referred to MSU with the following neurological diseases:

  • Consequences of craniocerebral trauma and contusion.
  • Large nerve injuries.
  • Parkinson's disease.
  • Multiple sclerosis.
  • Epilepsy.
  • Cerebral palsy.

The presence of a mental disorder is not always an indication for forming a group.

Patients with severe manifestations with the following diseases are registered on the commission:

  • Asperger's and Kanner's syndromes within the framework of autism.
  • Schizophrenia.
  • Organic brain diseases.
  • Dementia.
  • Mental retardation.

Diseases of the blood system: immunodeficiencies of various nature, hereditary disorders of the hematopoiesis and coagulation system, benign or malignant tumors of the hematopoietic organs also serve as a reason for referral for examination. Rheumatologists recommend establishing a group for severe damage to joints and connective tissue in arthritis, systemic lupus erythematosus, scleroderma, osteoarthritis.

Diseases of the skin and its appendages can also restrict vital functions. Disability is prescribed for severe atopic dermatitis, psoriasis, eczema. The identification of benign or malignant tumors leads to the formation of a group with inoperability of lesions of the nervous system, severe intoxication, if the disease progresses or urgent treatment is required according to a quota.

In case of damage to the sensory organs (eyes, hearing, speech), the patient is entitled to disability due to blindness, with narrowing of the visual fields, a high degree of myopia, hearing loss, deafness, combination of blindness with deafness, loss of the ability to speak. If a person is planning to apply for a disability group for the first time and does not know whether it is possible to get it with a particular disease, you should not look for information on health in medical reference books, as there is a risk of erroneous assessment of the information. You can find out about your prospects during a conversation with your doctor or consultation with the ITU chairman.

Disability for children for a period of 5 years

Obtaining the status of a “disabled child” for a long time is possible in the presence of severe pathologies during the initial or repeated appearance at the ITU. Primarily, the group is given to children with the following diseases: type 1 diabetes mellitus when receiving therapy up to 14 years old, with phenylketonuria of moderate severity with the impossibility of independent control of nutrition, with congenital lesions of the lip, palate, early childhood autism, autistic syndrome.

When re-appearing at the commission, the child receives the status of a disabled person for 5 years in such cases:

  • Hydrocephalus after surgery with impaired body functions.
  • Malignant neoplasms, including blood systems.
  • Severe scoliosis with need for rehabilitation.
  • Severe course of adrenogenital syndrome.
  • Children with severe kidney damage who are receiving steroids.

Perpetual registration of status

Disabled persons undergo re-examination by the ITU to assess the dynamics of the condition. If, against the background of treatment and rehabilitation, the disabled person managed to restore his health, they decide the issue of lowering or removing the group. The frequency of re-examination depends on the diagnosis and prognosis for it. So, disabled people of 2 and 3 groups pass ITU annually, 1 group - 1 time in 2 years. And the frequency of visits to the commission by disabled children also differs.


The procedure for registering a group regulates the duration of observation of a person in order to make a decision to establish it without further re-examination

There is a list of diseases in which a citizen is given disability for an indefinite period up to 2 years from the initial referral to the ITU. It applies to children, adults and includes the following diseases:

  • Conditions and diseases in which a persistent increase in blood pressure leads to the development of complications: renal, cardiovascular failure from grade 2, mental and sensory functions, support and the ability to move.
  • Congenital or acquired dementia.
  • Severe diseases of the nervous system with a constantly progressive course and impaired body functions.
  • Benign tumors of the nervous system without the possibility of radical removal with damage to the functions of movement, vision, hearing, speech, gross neurological, mental disorders, impaired outflow of cerebrospinal fluid.
  • Consequences of severe injuries of the central nervous system with instigation of movement, support, speech, vision, lack of control of urination, defecation.
  • Oncological pathology of a progressive course: the presence of metastases, the inability to detect a primary tumor, the lack of effect from any treatment, the general serious condition of the patient.
  • Condition after surgical removal of the larynx (absence of an organ).
  • Diseases of the respiratory system, progressive course with respiratory failure from grade 2 against a background of heart failure from grade 2b.
  • Severe chronic inflammatory bowel lesions with no remission against the background of adequate constant therapy, with the development of endocrine and digestive disorders.
  • Severe movement disorder in large joints (ankylosis, contracture) of the arms and legs with the impossibility of correction by installing endoprostheses.
  • The presence of urinary or intestinal stomas without the possibility of reconstructive surgery with closure.
  • Muscle and skeletal pathologies without the possibility of using prostheses for effective correction.
  • Diseases in which a person does not have an upper limb or a significant part of it: no hand, shoulder, forearm, shoulder joint, three or four fingers.
  • Absence of part or whole of the lower limb: foot, lower leg, thigh, removal of the hip joint.

In addition, servicemen, veterans or invalids of the Great Patriotic War of groups 1 and 2, persons with disabilities for more than 15 years, persons with disabilities who have reached retirement age in the presence of groups 1 and 2 have the right to indefinitely. You can get information about this by contacting ITU personally.

Perpetual group on initial exit

Some patients are given disability status without a term or up to 18 years at the very first contact with the ITU. The reason for this phenomenon is the presence of obviously irreversible changes or diseases without the possibility of restoring health. Children with these ailments are assigned a pension upon initial treatment up to the age of majority. Then they will be sent to an adult bureau and given the first, second or third group indefinitely.

The conditions for obtaining a group are considered a severe, progressive course of the disease, a violation of the basic functions of the body, the presence of fatal defects, the development of severe complications from other organ systems, regular and ineffective supportive treatment.

This disease register contains:

  • Hereditary metabolic pathologies (for example, phenylketonuria, cystic fibrosis, galactosemia).
  • Hereditary, embryonic malformations, chromosomal diseases with severe and persistent dysfunctions.
  • Systemic lupus erythematosus of high activity with the rapid development of complications, without the effect of treatment.
  • Scleroderma with diffuse tissue damage and severe course.
  • Severe juvenile rheumatoid arthritis with damage to the blood system, immune function.
  • Chronic renal failure from stage 2 without the possibility of donor organ transplantation.
  • Cirrhotic damage to the liver with the development of hepatosplenomegaly and an increase in pressure in the portal vein up to grade 3.
  • Congenital disorder of osteogenesis.
  • Epidermolysis bullosa with severe course.
  • Severe immune disorders with an indication for continuous therapy.
  • Disorders in the blood coagulation system of a hereditary nature.
  • Gross malformations in which only palliative treatment is indicated.
  • Anomalies of the development of the spinal column and spinal cord.
  • Schizophrenia with gross defect.

The list continues with organic brain lesions with severe impairment of mental functions, speech, vision, hereditary neurodegenerative diseases with rapid progression, cerebral palsy with severe disorders, epilepsy of any nature with resistance to therapy, HIV infection from stage 4 B.

We are also talking about gross lesions of hearing and vision (blindness in both eyes, deaf-blindness, myopia up to Visus \u003d 0.04 when wearing glasses, deafness, sensorineural hearing loss from grade 3), amputation of two lower extremities in the hip joints, ankylosing spondylitis with impairment body functions.

Group registration in absentia

There are conditions and disorders in which, in order to obtain disability, it is not necessary to bring a patient to the ITU or call experts at home. They give the right for an absentee examination. This means that the members of the commission study the medical records and make their decision without examination.


Correspondence registration is carried out for diseases in which the patient is in a known serious condition, for him complete documentation has been collected from the hospital and from related specialists. The survey is formal.

  • Diseases of the respiratory system with the development of chronic insufficiency of the 3rd degree, cardiovascular - from II B degree.
  • Severe lesions of the heart and blood vessels, failure of II B and higher, with end-stage renal, severe coronary insufficiency.
  • Chronic heart failure with the development of angina pectoris of the IV clinical and functional class.
  • Severe lesions of the nervous system.
  • Diabetes mellitus with the development of multiple organ failure, severe complications.
  • The presence of fatal colostomy, ileostomy, cystostomy.
  • The presence of persistent extrapyramidal and movement disorders.
  • Cerebral atherosclerosis with gross violation of movement, speech, psyche.
  • Progressive oncological pathology.
  • Severe skin lesions: epidermolysis, Kindler syndrome, ichthyosis, severe manifestations of psoriasis without the effect of therapy.
  • Benign tumors of the nervous system with a gross violation of the basic functions of the body.
  • Oncohematological diseases with severe intoxication.

The list of diseases, the presence of which gave the right to receive disability, is specified in the Government Decree of February 2006 No. 95. The group is drawn up in case of persistent loss of one or several body functions with the impossibility of full rehabilitation.

If ITU experts positively assess the potential of the disabled person in the long term, they give the group for a certain period. Disability without further re-examination can be obtained both in childhood and in adulthood. For patients with terminal and extremely serious conditions, the group is established in absentia.

Content

For the citizens of our country, this issue is extremely relevant at all times. People with serious health problems want to know everything about how to get financial support from the state. Nevertheless, no one can say for sure about which diseases they give disability. There is simply no clear list of diseases. The medical-labor commission, which decides on the assignment of benefits, pays attention not to the diagnosis itself, but to the severity of the body's dysfunctions, limiting certain possibilities in the process of life.

List of diseases that give disability

Despite the fact that MSEC members are mostly interested in the severity of the disease and the severity of complications, experts can name a wide range of diseases in which the state willingly meets halfway and assigns a disability group. The form of the benefit and the amount of financial support will depend on many factors that accompany the course of the disease.

1st group

People with persistent health disorders can apply for the establishment of the first group of disability. The reason for the deterioration does not matter. It can be an acquired condition, a birth defect, or the consequences of a serious injury. The determining factor for the VTE commission is the loss of legal capacity, due to which a person is deprived of the opportunity to exist without constant outside help. Typical cases of health disorders that are the basis for assigning the first group of disability include the following diseases:

  • paralysis of the ODS (musculoskeletal system);
  • vegetative state;
  • blindness;
  • deafness;
  • limb deformation;
  • complex neuropsychological diseases;
  • persistent dysfunction of internal organs.

The VTE commission assigns the first group of disabilities to people who have lost 90-100% of the ability to learn, work and control their behavior. The assignment of this allowance provides many social benefits, including the right to free movement on public transport, service in public medical institutions out of turn, a discount on utility bills, and much more.

2nd group

The basis for assigning the second group of disability is the loss of the ability to learn and work by 60-80%. People who are eligible for this benefit are able to perform the simplest self-help activities. The second group of disability, as a rule, implies lifelong exemption from work, but in some cases a person still retains the right to work. The following are examples of diseases in which a second disability group can be established:

  • epilepsy (regardless of the genesis and characteristics of manifestation);
  • lack of hearing (complete / almost complete);
  • progressive partial paralysis;
  • oncological diseases;
  • dysfunction of the gastrointestinal tract;
  • some mental / nervous diseases;
  • lack of vision (complete / almost complete);
  • anatomical defects;
  • heart / renal failure.

Group 3

Diseases that cause disability of the third group do not deprive a person of the ability to fully carry out labor activities, therefore, the right to work remains. However, restrictions are imposed on some areas of activity associated with factors that can worsen the state of health. Disability of the third group is possible with the following diseases:

  • renal failure;
  • decreased visual acuity / hearing;
  • difficulty breathing;
  • dysfunction of the ODS (musculoskeletal system) and gastrointestinal tract (gastrointestinal tract).

Indefinite

As a rule, when establishing a group of disability, the medical labor commission sets the period for re-examination. This means that the patient needs to be systematically examined to confirm his health status. The term for re-examination is determined by the members of the MSEC. In some cases, sickness benefit is awarded for life. This is possible if one of the following social circumstances occurs:

  • the citizen has reached retirement age;
  • the next medical re-examination is scheduled for the date following the retirement age;
  • disability of the second / first group is confirmed annually for 15 years;
  • raising the group;
  • in old age, if during the previous 5 years the first group of disability was confirmed;
  • the citizen is a veteran of the Second World War;
  • a citizen received a disability due to illness received while defending his homeland before the Second World War;

In addition, the legislation provides for a number of circumstances related to the state of human health, in which the period for re-examination is not established. The list below will tell you what diseases give permanent disability:

  • malignant tumors of various localizations and forms;
  • incurable benign tumors in the cerebral cortex;
  • diseases of the central nervous system (central nervous system), causing abnormalities in motor skills and sensory organs;
  • dementia;
  • severe diseases of a nervous nature;
  • degenerative processes in the cerebral cortex;
  • complete lack of hearing / vision;
  • severe progressive pathologies of internal organs;
  • severe deformities in the joints;
  • mechanical damage to the skull and brain;
  • defects of the lower / upper limbs (including amputations).

Is it possible to get a disability

Citizens of the Russian Federation are interested in the possibility of receiving benefits and material state assistance for congenital chronic ailments and dysfunctions acquired in the course of life. Below you will find detailed answers about the possibilities of obtaining a disability for some of the serious diseases that hundreds of thousands of our compatriots face.

With a hernia of the spine

A herniated disc is a complex and incredibly dangerous ailment. Treatments for this disease have long been identified. Medical techniques have been repeatedly tested in practice, but they do not give a guaranteed successful outcome. In some cases, medicine admits itself powerless. Patients who cannot be cured by known methods are assigned a disability. The group is determined based on the severity.

With diabetes mellitus

A common chronic disease, diabetes mellitus, belongs to the list of pathologies in which disability is given. In Russia, citizens suffering from this ailment almost always receive benefits. It does not matter what type of disease is diagnosed. When a person with diabetes turns to the VTE commission, an examination of the ability to work is carried out. Based on its results, the disability group is determined.

After a stroke

The results of statistical studies indicate that only 1 in 5 people who have had a stroke can return 100% to normal life. The consequences of a brainstroke are usually irreparable. A stroke leads to partial disability, so the state willingly assigns a disability. To apply for the allowance, you need to contact the VTE commission and submit documents confirming the fact of a deterioration in health. A certificate of disability issued in such cases requires an annual re-examination.

Neurology

Serious neurological disorders are also included in the list of diseases that qualify for disability. The legal framework of the Russian Federation provides for a wide list of violations in terms of neurology and psychiatry, upon detection of which a person is assigned a group corresponding to the level of disability. These include syndromes in cerebral palsy, meningitis, sclerosis and other diseases.

If a child with neurological abnormalities is born in the family, the parents can turn to the VTE commission. In order to submit documents correctly, you need to know exactly what neurological diseases cause disability. An appropriate medical examination will be required. Based on the expert opinion, the commission will assign a disability group. If the revealed violations are classified as "serious", the state will pay substantial material support for life.

By sight

Severe eye disorders (loss of vision by more than 60%) often become a reason for assigning a disability and applying for benefits with monthly payments from the state treasury. A systematic re-examination is usually not required in such cases. Due to the fact that people with similar problems are not able to serve themselves on their own, a guardian is selected from the circle of relatives, who must find out how to give a disability group and draw up all the necessary documents.

After removal of the gallbladder

Patients suffering from severe forms of gallstone disease and / or cholecystitis are prescribed treatment in a hospital setting. Modern medicine knows many approaches to eliminate these problems, but in rare cases they do not help. Doctors have to resort to the most extreme measures - to remove the gallbladder. After that, the state of health returns to normal, but there can no longer be any talk of full working capacity. To receive assistance from the state, a person should find out how to register a disability and contact the VTE commission.

After a heart attack

Consulting with specialists about what diseases give disability, you will not be able to find out anything specific about myocardial infarction. Despite the seriousness and insidiousness of this heart disease, the VTE Commission will consider the fact of severe complications and high blood pressure to be sufficient grounds for attributing disability.

Which disability group is the worker

If you have serious health problems that can be the reason for disability registration, be prepared for the fact that you will have to leave your job forever. The right to work is reserved only for disabled persons of the third group. Even the most experienced drivers, turners, mechanics, electricians and welders will not be able to find official work with a second or first group of disabilities. For this reason, some people apply for post-retirement benefits.

Video: the procedure for establishing disability

After reading the video below, you will learn even more about the diseases for which they are given a disability group and understand what exactly needs to be done to achieve this. The issue of receiving state benefits hides many nuances, so before proceeding with the registration, you should find out everything properly. Listen to the recommendations of experts so as not to waste extra time.

Attention! The information presented in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can diagnose and give treatment recommendations based on the individual characteristics of a particular patient.

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What diseases give a disability group

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Disability is a rather broad concept that implies a person's disability due to physical health or mental problems.

Disability can be complete or partial. People with moderate disabilities who need support from social services may be assigned a Group 3 disability.

The list of diseases in Russia that belong to this group is not officially approved by legislation. Disability is established according to the results of the medical and social expert commission, which in its assessment is guided by the order of the Ministry of Health and Social Development of the Russian Federation No. 1013n of 2009.

Eligibility Criteria

The legislation of Russia defines the criteria according to which the disability of the first, second, third group or the category of "disabled child" is given. Childhood disability can be assigned for any disability. Upon reaching the age of majority, the patient undergoes an examination.

Citizens of the following categories can be recognized as fully or partially incompetent.

  1. People with confirmed diagnoses of diseases;
  2. People with injuries, deviations, certified by the commission.

What is assessed during a medical examination

A specific list of diagnoses in which a disability of a particular group is established is not approved in the legislative documents of Russia. Medical and social expertise evaluates:

  • the complexity of the diagnosis;
  • the specifics of the disease;
  • limitations and difficulties associated with the manifestations of the disease;
  • causes of the disease (it can be congenital, acquired as a result of injury, participation in hostilities).

Disability criteria

To obtain a disability group, a disability must be determined. Medical examination examines areas of life in which a person experiences difficulties due to health reasons, assesses his ability to:

  • move;
  • navigate;
  • serve yourself;
  • communicate;
  • work;
  • to study;
  • physiological and psychological adequacy.

Severity of violations

Each persistent disability due to illness is assessed. There are norms regarding a person's age, which make it possible to determine the severity of violations.

  1. First degree - the disease is not very pronounced.
  2. The second degree is moderate.
  3. The third degree is severe disability.

For what disorders is disability group 3 given

Disability of the 3rd group in Russia is established by the decision of a medical and social examination for diseases and disorders that cause minor difficulties. According to the classification, these are diagnoses that do not give a person the opportunity to work in some desired areas, but at the same time he does not need help to perform everyday activities.

  1. Diseases of the internal organs.
  2. Disturbances of the nervous system and psyche.
  3. Musculoskeletal diseases.
  4. Diseases of the respiratory tract, ears.
  5. Ophthalmic diseases.

What can be considered a minor disorder

  1. Problems with speech, hearing.
  2. Impaired blood circulation.
  3. The functions of the musculoskeletal system.
  4. General difficulty in perceiving information through the senses.
  5. Congenital or acquired physical deformity.

Obtaining disability group 3

To obtain a disability, a citizen applies to the ITU at his place of residence.


List of documents to be submitted:

  • referral from a doctor to undergo a medical commission;
  • own statement;
  • outpatient card;
  • copy and original of the passport of a citizen of Russia, for a minor - a birth certificate;
  • a copy of the work book certified by the personnel department, characteristics;
  • income statement;
  • pension certificate;
  • copies of hospital treatment certificates signed by several doctors.

Additionally, you can attach the following documents:

  • the act of receiving an industrial injury;
  • evidence of the conditions at the place of work that led to poor health;
  • receipts for treatment payment, ambulance coupons.

If a person's condition does not allow him to visit the ITU, and this is confirmed by a medical report, the experts of the commission come home.

Patients undergo a medical examination annually to confirm their diagnosis and establish a disability group. To re-obtain a disability group, you must submit a certificate of disability, a program for your treatment and rehabilitation.

People of retirement age can be assigned a disability indefinitely, without having to undergo an annual check.

Disability criteria for group 3

According to the criteria set out in the order of the Ministry of Health of Russia, disability of the 3rd group is established in case of first-degree disability.

Ability to serve oneself

A person does not need outside help to fulfill basic physiological needs, to perform daily household tasks. However, there are minor restrictions on self-service:

  • takes longer than a healthy person;
  • aids are used;
  • self-service cannot be performed in one go, it requires splitting the task into stages.

Ability to walk

No assistance is required for movement. A person can move independently, uses public transport. First degree mobility restrictions:

  • to maintain balance, walking requires aids;
  • movement takes longer;
  • a person needs to take breaks, rest, shorten the distance.

The ability to navigate

The ability to orientate is practically not impaired. Human can:

  • navigate in a familiar and familiar environment;
  • adequately assess the situation;
  • determine your location;
  • assistive devices are assumed.

Ability to communicate

A person retains the ability:

  • contact people at a reduced pace;
  • receive, comprehend and share information through verbal and non-verbal communication.

Help can be used for people with speech and hearing problems:

  • a hearing aid and other technical devices are installed;
  • the services of a sign language interpreter are used.

Self-control

This implies the ability to behave appropriately, adhere to morality and socially accepted norms.


At the first degree of disability, a person:

  • is able to control himself in a familiar environment, but can lose self-control if the situation becomes more complicated;
  • has difficulty performing functions in certain areas of life;
  • able to assess his mistakes and correct them.

Ability to learn

A person is able to receive and assimilate general educational and professional knowledge, reproduce, use them in work. However, when training, he may require:

  • specialized program;
  • adapted mode;
  • technical aids.

Perpetual disability

The official list of diseases for establishing indefinite disability was approved back in 1956 by the USSR Ministry of Health and is still relevant in Russia. This is the only document that provides a list of injuries, defects and diseases that qualify for eligibility for support from public social services. Disability group 3 is assigned for some diseases from this list, if they have not been re-certified by the ITU.

Internal diseases

  1. Hypertension (organic changes in the central nervous system, eyes, myocardium, kidneys).
  2. Coronary insufficiency in the postinfarction period. Significant circulatory disorders, changes in the myocardium.
  3. Heart disease with severe circulation problems.
  4. Lung diseases with chronic heart and respiratory failure.
  5. Chronic nephritis with acute renal failure.
  6. Cirrhosis of the liver, which is accompanied by abdominal ascites.
  7. Complex forms of diabetes with acetonuria, tendency to fainting and coma.
  8. Incurable oncological formations.
  9. Rehabilitation after complete gastric resection.
  10. Removal of one lung.

Nervous system and psyche

  1. Chronic diseases of the central nervous system, provoked by infection.
  2. Progressive paralysis with signs of mental disturbance, without noticeable improvement due to therapy.
  3. Mobility disorders after brain injury. Without re-examination, in case of damage to the skull with a defect or a foreign object in the brain area, disability group 3 is assigned.
  4. Injuries and diseases of the spinal cord, cauda equina, which led to functional disorders in the pelvis.
  5. Deterioration of blood circulation in the brain, causing dementia or unilateral paralysis (hemiplegia, hemiparesis, psychosis).
  6. Epilepsy, accompanied by frequent seizures and mental clouding.
  7. Progressive impairment of motor functions due to tremor paralysis. Diseases of the central nervous system (myotonia, myopathy).
  8. Paralysis of the limbs due to peripheral nerve injury.
  9. Inoperable oncology in the brain and spinal cord.
  10. Oligophrenia at the stage of imbecility.
  11. Absolute hearing loss on both sides (3rd group is given without re-examination).

Defects after surgery

  1. Amputation or congenital absence of arms, hands, deformation of the shoulder, elbow joints.
  2. Missing fingers on one or both hands.
  3. The absence of the lower limbs after amputation or as a result of injury.
  4. A foreign object in the area of \u200b\u200bthe heart muscle and pericardial sac.
  5. Fistulas that do not respond to treatment and prevent the patient from maintaining hygiene.
  6. Deformities of the jaw and palate, in which the chewing function cannot be restored by prosthetics (group 3 is assigned without re-examination).
  7. Inadequate respiratory function after undergoing surgery on the chest, amputation of several ribs (group 3 can be assigned without re-examination).

Throat, nose defects

Perpetual disability is prescribed for complete amputation of the larynx with the installation of a prosthesis.


Ophthalmic diseases

  1. Complete blindness in both eyes or one eye.
  2. Deterioration of vision in one or both eyes up to 0.02‒0.03.
  3. A narrowed field of view to 10 degrees in both eyes or 5 degrees in one eye without the possibility of correcting it.
  4. With indefinite disability, visual impairment due to other concomitant diagnoses may be a reason to change the group. For this, a new expert examination of the disease is assigned.

Groups of citizens for whom disability is established indefinitely

  1. Perpetual disability is assigned to people who have reached retirement age in accordance with Russian legislation.
  2. If disability for health reasons was assigned before retirement and was confirmed for 5 years, upon reaching retirement age, an indefinite disability may be assigned for the same deviations.
  3. Patients with disabilities of groups 1 and 2, if their group has not decreased over the previous 15 years.
  4. Citizens who received injuries, contusions, injuries during military service, which caused disability.
  5. Participants of the Second World War and defenders of the Fatherland in the pre-war period with disabilities of groups 1 and 2, who were injured during hostilities, have the right to indefinite disability.

ITU Complaint Procedure

Citizens with a confirmed diagnosis can challenge the decision of the medical and social commission if a decision was made to refuse to establish a disability.

  1. In order to challenge a refusal, a complaint should be filed with the ITU department that carried out the examination.
  2. On the basis of the complaint, a repeated medical examination must be ordered within a few days.
  3. Re-examination is appointed no later than a month after the application is submitted.
  4. The person filing the complaint can influence the composition of specialists and doctors who will conduct a second examination.
  5. Also, the ITU decision can be appealed through the courts.

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