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    Arterial hypertension and disability



    It has recently become possible to get disability with hypertension due to the seriousness of this disease. This pathology really reduces the quality of life of people, they lose their former working capacity and simply suffer from painful symptoms. Watching such people is quite difficult, so they deserve some indulgence and guarantees that a disability group gives.

    Types of hypertension

    Quite a lot of people are faced with the problem of obtaining disability against the background of malignant hypertension. Every third of the world falls ill with pathology and the incidence does not depend on the level of development of countries and continents. The territory of the post-Soviet space has accepted hypertension as a disabling disease, which provides for some indulgences and payments for chronic patients. However, proving the presence of the disease is becoming increasingly difficult.

    Hypertension is commonly referred to as a persistent increase in pressure above 140/90 mm Hg. In medical practice, the gradation of the disease by degree is used, which makes it possible to assess the risk of complications for the patient. Nevertheless, even at the initial stage, hypertension deprives a person of some full-fledged functions, which is important for his work and life in general. The gradation of pathology by degree also shows how resistant a person is to stress and physical overstrain, which limits his work in areas of activity with great harm. Typically, such industries are associated with poisons, chemicals, are accompanied by constant exposure to noise and vibration, and have a schedule with night shifts. All this does not have the best effect on the state of health and often serves as the main or predisposing factor for the development of hypertension.

    The acquisition of the disease requires a thorough examination by a qualified specialist. It includes a detailed history, clarification of burdened heredity, laboratory and instrumental diagnostics.

    This is carried out to check the functionality of organs and systems, as well as to clarify the diagnosis. The doctor also determines the need to include the patient in the disability group. On his initiative, health-improving procedures and rehabilitation courses will also be offered.

    For high blood pressure, three degrees of hypertension are determined. Naturally, the least number of clinical manifestations will be in the first degree of hypertension, but this does not negate the severity of the disease.

    The symptoms of this stage are:

    1. The presence of interruptions in the work of the heart, which the patient notices on his own. There may be a disruption of the rhythm, increased heart rate for no apparent reason.
    2. Only infrequent rises in pressure can be traced. During the day, arterial tone is usually normal, and tends to increase in the evening.
    3. Pathology practically does not affect the ability to perform the usual work.

    Hypertension of this degree requires special working conditions, even if a person does not notice a decrease in performance. Activity should not be dangerous, from the point of view of poisons that affect specifically the vessels. The patient should not be in noisy places for more than two hours a day, including working with vibrating objects. Stress for such people is also highly undesirable.

    When management ignores the presence of a disease in an employee, a special commission will help create the necessary working conditions. Experts establish the harmfulness of production and quite clearly limit the powers of workers whose activities pose a risk to health.

    The group is given from the second degree of arterial hypertension. It is accompanied by more intense symptoms that indicate pathological changes in the myocardium and blood vessels.

    Pathology that has reached such a degree is even more dangerous and requires additional measures to limit production.

    The field of activity of patients should not contain the following points:

    1. Prolonged static tension of the limbs or any other muscle groups.
    2. Work at heights and in rooms with high temperatures or with hot objects should also be limited. It is believed that it is from the heat that you can get a hypertensive crisis.
    3. The disability group gives the right to reduce the length of the working day and cancel night shifts or shifts.

    The installation of the third degree of hypertension implies absolute disability, since the risk of catastrophes of the cardiovascular system is too great. A few exceptions allow for light work at home, where favorable working conditions can be provided.

    Establishment of disability

    Before deciding whether to add a patient to the disability group for hypertension, it is necessary to undergo a complete medical examination. It is a reflection of the functionality of the organs and the degree of damage to the body by high pressure. The conclusion issued on its basis will allow you to receive appropriate benefits.

    It directs the patient to an expert commission, which establishes the following factors:

    1. Complications from arterial hypertension. This primarily concerns the eyes, kidneys, brain. Increased pressure primarily affects the organs of vision with reduced visibility regardless of distance. Against the background of hypertension, you can get a somatic pathology of the kidneys, a decrease in cognitive abilities due to vascular damage to the brain.
    2. The pedigree of the patient is traced. Cases of a malignant course of hypertension in past generations form a burdened heredity of the patient.
    3. The commission limits the working conditions, sets the work schedule, the number of days off.

    The second degree of hypertension determines the third group of disability. This degree is not yet multifactorially complicated, but corresponds to a fairly serious lesion of the internal organs, which creates a risk of ischemic conditions. The third group allows you to get the advantage of choosing a place of work where favorable working conditions will be observed.

    The second group is given in the malignant course of the disease with high blood pressure. You can get it with the second and third degrees of hypertension, which are accompanied by heart failure. This type of pathology creates a high risk of vascular hemorrhage, which prevents patients from working.

    Disability of the third group, of course, cancels labor activity of any kind. Hypertension in such people is actively progressing, and the symptoms add up to a painful clinical picture, which significantly reduces the quality of life of patients. The organs that suffer from high pressure the most are affected by a pathological condition, which also limits a person. The heart suffers against the background of the disease, its chronic insufficiency is formed, requiring compensatory treatment. However, it is believed that therapy in this case is powerless: hypertension cannot be cured, but often successfully compensated.

    paper design

    Medico-social expertise is a serious undertaking. Although the process of obtaining a disability certificate seems complicated, if the established formalities are followed, it is nothing complicated. The collection of papers begins with a written application addressed to the head of the medical institution. It is necessary to confirm the diagnosis with certificates not from any clinic, but from the one where the patient is assigned for district observation. In the outpatient department, they also give the direction of the appropriate form for examination.

    Nuances arise when the patient does not have a permanent place of residence or data is lost due to some circumstances. Such patients are taken under guardianship by social protection authorities, which help to obtain disability and provide other guarantees and discounts.

    The referral is accompanied by a certificate filled with data on the state of health. They should reflect functional disorders of organs, the degree of loss of function, the risk of complications for organs and the body as a whole. Help can be supplemented with information about the failure of the rehabilitation program.

    Usually institutions of regional subordination have their own expert commissions. For patients who have lost the ability to move independently, medical workers can go to their homes.

    Experts are condescending to people who really suffer from a painful illness, but they also recognize attempts to attribute non-existent symptoms and manifestations of the disease to themselves. Each element of the clinical picture is confirmed by laboratory or instrumental, and competent specialists instantly notice this. You should not joke with such dangerous diseases as hypertension, because the risk of complications from it is extremely high. Getting a disability is not the best outcome of the disease, however, it does not take away the most valuable human life.

    The established disability group requires certain confirmation periods. They give a certificate of a disabled person for a period of two years for the first group, the second and third groups are confirmed annually. Some diseases do not require repeated referral to medical experts, but this does not apply to hypertension. Nevertheless, hypertension is almost never completely cured, so re-confirmation of its presence does not create new difficulties.

    Article author: roman
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    Arterial hypertension and disability