Disability in RA (rheumatoid arthritis)
Often, people suffering from this disease are faced with the problem of being assigned a disability. What does this matter in the future, and it’s very serious. After all, for many this is the only basis for receiving benefits. Therefore, I want to talk about what influences the opinion of MSEC commissions.
There are perhaps two main criteria for determining a group: firstly, the need to use assistive technical means ( VTS ) and secondly, the help of other persons. First, the degrees of various human abilities related to his life are determined. There are seven of these abilities.
The main categories of human life include:
ability for self-care ;
ability to move independently ;
the ability to control one's behavior ;
ability to work .
Tatyana Sakharchuk Thank you for the interesting information. Faced with similar problems, as a doctor, I have reason to believe that there is some kind of unspoken quota for people with disabilities. This is why sometimes they try not to give it, even if it is supposed to be given. And in such cases, you need to be able to instruct in your own way. And even write complaints. There's nothing to be ashamed of. Text hidden expand
Ekaterina Chuprina → Tatyana Sakharchuk Complaints do not always help, but the big problem is that people most often do not write them, but in vain. Regarding the quota, the fact is not clear to me, since I have not seen a specific official document limiting the number of disabled people, and where can you see such a thing, but your guesses, I think, will be shared by many, including me. Disability is very expensive for the state, because it includes pensions and TSR. And when the disease is not so obvious to external signs, it is easiest to refuse. Text hidden expand
Both adults and children can suffer from rheumatoid arthritis. The disease is considered quite severe, requiring special treatment. Often, in the absence of proper treatment, the disease leads to disability. To prevent this from happening, it is necessary to diagnose the disease in time. Disability in rheumatoid arthritis is established by MSEC.
Rheumatoid arthritis has 3 degrees, characterizing the severity of the disease.
1st degree (initial) - characterized by slight periodic pain in the joints. In the morning a person may feel some stiffness. Disability is not issued.
2nd degree (medium) - joint pain appears not only during movement, but also at rest. The stiffness may last for half a day. Swelling appears in the joint area. The patient requires urgent treatment in a hospital.
3rd degree (high) - severe pain not only during movement, but also at rest, body temperature in the joint area increases. Human mobility is severely limited. Constant therapy is required. Disability is issued for rheumatoid arthritis.
When determining the disability group, the MSEC Commission looks at whether the person needs outside help and the use of assistive technology. The degree of a person’s abilities for self-care, movement without assistance, ability to communicate, learn, and work are also determined. Based on the data received, the commission assigns a certain disability group.
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Rheumatoid arthritis is a rare and severe autoimmune disease, the origin of which raises many questions. The essence of RA (rheumatoid arthritis) is systemic damage to human connective tissue at the level of cell membranes. First of all, the disease manifests itself as problems with the functioning of small joints.
At the stage of diagnosing RA, an acceleration of red blood cell sedimentation and an increase in the proportion of white blood cells are detected, which usually indicates the infectious nature of the disease. But treating rheumatoid arthritis with antibiotics does not provide relief because RA is a consequence of the body's abnormal immune response to infection, not the infection itself.
Unfortunately, the disease usually manifests itself in young and middle-aged people. More than 70% of them, as rheumatoid arthritis progresses, first receive the status of temporarily disabled persons, and then a disability group. By what criteria is the ability to work of RA patients assessed, and how to receive social support from the state - we will answer these important questions today in our article.
It is customary to distinguish between mild, moderate and severe forms of rheumatoid arthritis.
A mild form of the disease is characterized by the following symptoms:
Pain syndrome is weak or absent;
The articular form of RA progresses slowly or is in remission;
There are no exudative changes in the joints;
According to laboratory studies, RA is in the 1st stage of activity;
According to X-ray examination - in the 1st or 2nd stage;
Impaired functioning of joints in the 1st stage;
The patient's functional class is 1st.
The average form of rheumatoid arthritis and its clinical signs:
The course of the disease is complicated by frequent and prolonged periods of exacerbation;
There are no complete remissions;
Polyarticular lesions are observed in the joints;
According to laboratory tests, the patient has a seropositive status;
X-ray stage of the disease is 2nd or 3rd;
Impaired functioning of joints at stage 2;
200?'200px':"+(this.scrollHeight+5)+'px');"> I have been suffering from rheumatoid arthritis since 2004, now stage 2, every year I undergo treatment at the regional clinical hospital. At the moment there is also a secondary deforming Arthrosis of the knee joints, grade 3 (I’m on the waiting list for prosthetics) I worked as a mechanic for the last 11 years, now I’m unemployed. I’ve had 40 days of sick leave in the last year. Can I get disability?
According to the data you provided, the range of the expert decision can range from: “not recognized as disabled” to “disability of the 3rd group for a period of 1 year.”
For a more accurate answer, additional data is needed:
1.Number of inpatient treatments over the past 12 months. and full (without abbreviations) diagnoses from there - main and accompanying ones.
2. Data from recent blood tests - the numbers of ESR (ROE) in mm/h are of interest.
3. Do you use a cane when walking?
4. Range of motion in the knee joints on both sides in degrees.
For a more accurate consultation - if possible - I would very much like to get acquainted with recent P-images of the knee joints.
You open any text document on the computer in full screen and remove all the text from it - you get a solid “white screen” - against its background and take pictures of the radiographs.
If possible, you can upload them to any photo hosting site and provide links here or send pictures to me by email:
If you send it by email, then write about it in this thread - since I am on the site more often than I check my email.
Disability due to arthritis can be issued in cases where the disease is severe, has serious complications or threatens their development in the near future. You can get disability with different forms of arthritis and with different localizations.
The rules for completing documents are approximately the same for adults and children. To complete the documents, you need to pass several diagnostic medical commissions. They must confirm that the disease exists and limits the patient’s ability to work.
We will discuss the details below.
Do various forms of arthritis cause disability or not? Yes, they do, but not in all cases . There are clear criteria for selecting patients who are assigned a disability group.
In most cases, the decision is approved in cases where the patient has severe arthritis on a chronic basis. That is, there are serious limitations in ability to work, and the situation cannot be changed in any way (the disease is not cured and is not put into remission) at all, or not in the coming months.
Arthritis relatively often leads to disability
At the same time, the selection criteria for women and children may be “smoothed out.” If the requirements for a man are higher, then documents can be issued for a child or woman even with a milder course of the disease. In addition to refusal, the medical commission may also issue temporary disability.
If the disability is reversible (the disease is acute, but ultimately treatable), a temporary loss of disability is issued. Even those patients who have a mild form of arthritis fall into this category.
Such patients are entitled to one of the following types of temporary disability document (TLD):
How to obtain disability due to arthritis and in what cases is such a document issued? The application is reviewed by the medical and social service conducting the examination (MSE). It is she who checks the patient’s complaints and decides which group to assign him to (based on a comprehensive examination).
Stages of rheumatoid arthritis
Factors that positively influence obtaining a disability group:
Patients with a variety of forms and localizations of arthritis can be classified into any of 3 disability groups. It all depends on the severity of the disease, the duration of its presence in the patient, response to therapy and the overall prognosis for cure and the ability to care for oneself independently.
If the situation is mild, the first group is assigned. If the disability is pronounced and the overall prognosis is unclear - the second group. In case of severe disease and the inability to care for oneself independently, a third group is formed.
In this case, the form of the disease has no role, except in cases where the patient has conditionally benign arthritis with the possibility of its complete cure. This can include drug-induced arthritis, infectious, and sometimes psoriatic (if it responds well to therapy).
In most cases, disability is issued to patients with rheumatoid arthritis, since this form of the disease is the most severe and has no special treatment. But there are other forms of the disease that also require registration of a disability group.
List of secondary arthritis:
To obtain a disability group, you should first go to the clinic at your place of residence, where you need to consult a therapist about this. Next, the patient will be referred for consultation to medical and social examination staff.
Severe arthritis
Further actions of the patient (step by step):
The whole process can take several months (everything is done on a first-come, first-served basis), which you need to be prepared for.
From time to time, you should undergo a second commission to re-examine the disability group. The frequency of re-examination depends on what disability group you have.
There are four options in total:
In cases where you have an indefinite group (that is, for an indefinite period), you can undergo repeated re-examination by writing the appropriate application (relevant for those who have been cured and plan to return to work).
Even in the most obvious cases, when the disease is really very severe, the medical commission may refuse to receive a disability group. The patient has the right to appeal such a decision in accordance with the constitution (in any CIS country).
To obtain a disability group for arthritis, you must undergo an examination
It is important to note: you can appeal the commission’s decision within 1 month from receipt of the refusal . After this, you will not be able to legally defend your case, including through court.
An application for review of your case must be submitted to the expert or main bureau of the medical and social commission. If your complaints are ignored, you can report this to the prosecutor's office (you can also appeal the commission's decision through it).
Please note: you have one attempt, so before filing an appeal, collect all the evidence that proves that you have a serious illness.
Receiving a 2-3 degree disability group does not mean that the patient can no longer continue to work. According to the laws of the Russian Federation, the employer does not have the right to dismiss employees with the second or third group of disabilities.
Your employer can use a trick: it is easy to circumvent the law by dismissing an employee due to staff reduction, even if this reduction is fictitious. However, the employer must inform the patient about such a decision 2 months before the layoff.
Patients with the first group of disability, unfortunately, cannot apply for any kind of work. In this case, the patient is literally left to his own devices: he can only work for himself.
Rheumatoid arthritis is a severe systemic disease that affects bone joints, destroying them and causing disability. In addition to the joints, the disease affects the entire body, causing poor sleep, headaches, increased body temperature, as well as diseases of the heart, nervous system and lungs. On average, people suffering from rheumatoid disease live 4-7 years less than the average population of the planet. Disability from rheumatoid arthritis is also quite common. Despite the rapid development of medicine, there is still debate in the scientific community about the origin of rheumatoid arthritis, methods of combating this pathology, as well as the search for ways to prevent the disease.
Temporary disability (TL) is a condition of the human body caused by injury or illness, which is characterized by a loss of professional skills that is reversible.
Patients with mild arthritis may be considered able to work, but with certain reservations. Such persons need certain working conditions related to facilitating manual work; it is not recommended to overexert their hands, remain in a sitting or standing position for a long time, or write and type on a computer. When the disease is in the acute stage, the issue of duration of disability is decided:
Not all patients are entitled to disability due to rheumatoid arthritis. If the condition is relatively satisfactory, the course of the disease is mild and there is no damage to other body systems, there is no disability. Only with a constantly relapsing and progressive course of arthritis, as well as with an advanced stage of chronic pathology, the question of assigning a disability: to give or not, is decided by a special expert commission.
In the modern classification, there are 3 groups of disability for rheumatoid arthritis:
1 is given for the most severe and advanced stage of rheumatoid arthritis, and the patient cannot walk or care for himself. In this case, the ability to work is completely lost and constant care of third parties is required.
The 2nd group of disability is issued in case of a severe form of the disease, when the patient cannot fully care for himself, all his movements are severely limited. In this case, his ability to work is lost, however, he can perform light work during the period of remission. This group of disabilities requires the care of outsiders.
The 3rd disability group is given for mild to moderate activity of the process, when the patient is self-sufficient in care. In this case, the ability to work is not lost, but certain types of work are contraindicated.
For all disability groups, it is necessary to select the optimal place and hours of work, as well as psychological and social support in society.
The presence of disability due to rheumatoid arthritis is expressed in certain social benefits, transport benefits, free issuance of medications, etc. We have already decided on the question: is disability given for rheumatoid arthritis? Now let's look at how disability is obtained.
To issue a disability, according to the law of the Russian Federation, 3 mandatory criteria must be met:
If certain criteria are met for rheumatoid arthritis, a disability is given and the patient must collect documents for a medical and social examination:
First, the primary care rheumatologist sends the necessary documents for a medical and social examination (MSE) and refers the patient for additional studies and tests. Then a special commission of the clinic collects the remaining documents, sends a request to the ITU and sets a day for the patient to appear, about which he is warned in advance.
Medical and social examination is carried out in the medical institution where the application for incapacity for work was previously submitted. If the patient is unable to move, the meeting may be held in the inpatient department. A commission of doctors from different specialties who are not related to the patient is selected in advance. Then, based on certain criteria, specialists decide to assign a disability to a specific person.
The decision is made based on the following factors:
When the ITU makes a decision on issuing disability, special papers are drawn up and the validity period of the documents is decided. After which, within a certain time frame, it is necessary to confirm disability. When issuing the 1st group, it is necessary to undergo re-examination once every 2 years. When issuing groups 2 and 3, disability must be confirmed every year. According to the law of the Russian Federation, the following are exempt from confirmation of disability: Men over 60 years of age, women over 55 years of age and disabled people with irreversible changes in organs and systems.
The decision to assign a patient permanent disability depends on certain factors:
Also in the documentation on the assignment of disability, the duration of the disease is indicated (“congenital disease”, “disability since childhood”, “general disease”)
In practical medicine, the following degrees of severity of rheumatoid arthritis are distinguished:
Rheumatoid arthritis stage 3
There are also 3 degrees of severity based on clinical signs; this classification is also taken into account when undergoing medical examination:
Rheumatoid arthritis is a severe progressive disease. Is it common to get disability for arthritis? Perhaps yes. After all, this disease gradually leads to dysfunction of the affected limbs, and then to complete immobilization in the joint. However, despite the severity of the disease, the patient always needs the support of loved ones and the state, represented by social and volunteer services. A favorable family environment, constant material and social assistance will help a person survive this condition and adapt to society.
Rheumatoid arthritis (RA) is a serious disease of autoimmune etiology. During the development of the disease, connective tissue is affected at the cellular level; as a rule, dystrophic disorders occur in the area of small peripheral joints.
When the general condition of a sick person gradually worsens, and the stages of exacerbation occur with an increase in the intensity of symptoms, we can talk about temporary loss of disability. Even if modern treatment methods used for rheumatoid arthritis do not bring the desired recovery, a medical and social examination is carried out, based on the results of which the patient is diagnosed with a disability of one or another group.
Not every person diagnosed with rheumatoid arthritis is given a disability. To be given a disability group, at least one of the required factors must be present. If a patient is diagnosed with a severe stage of RA, and has all the necessary certificates in hand, he has the right to insist on obtaining a group by all means, even if this is denied to him.
A medical and social examination is required in the following cases:
Be sure to take into account the percentage of the possibility of independent maintenance and motor functionality.
The concept of “functional class of disease” refers to the percentage for the possibility of independent care that is assigned to a patient with rheumatoid arthritis. Before considering the immediate classes, it is worth noting that their definition is influenced by the severity of the disease, which depends on the severity of symptoms and the x-ray picture.
According to the severity of symptoms, the following degrees of development of rheumatoid arthritis are distinguished:
Based on the X-ray picture observed during the development of rheumatoid arthritis, the disease may have one of the following types:
Based on the X-ray picture and the severity of symptoms, the functional class of the patient with rheumatoid arthritis is determined, according to which it is subsequently determined whether or not a particular patient is entitled to disability:
Only a qualified doctor can determine which class a particular person suffering from RA belongs to.
The patient is referred for a medical and social examination by the attending physician, who preliminarily prescribes the necessary diagnostic tests. After passing the necessary diagnostics, the person undergoes a medical examination at the clinic at his place of residence.
After approval of the need to establish a disability group, the mailing list is sent to the bureau of medical and social examination, and the patient is notified of the date and time of the examination.
Before determining whether a specific disability group can be assigned to a patient with rheumatoid arthritis, members of the expert medical commission take into account the following factors:
Based on the results of consideration of these factors, the commission can make a verdict on assigning one of the following disability groups to a person suffering from rheumatoid arthritis.
Group III – assigned if:
Group II – assigned if:
Group I – assigned if:
It is possible to accurately determine the disability group only by conducting laboratory and instrumental studies, as well as carefully studying the history of the disease.
If a person does not agree with the ITU result, he has the right to appeal the decision by writing a statement and sending it to the very bureau that considered the application to establish a disability group.
The Bureau is obliged to send it to the main department within 3 days after receiving the application, attaching all available documents. At the main office, a decision is made to conduct a new medical and social examination. If a person does not agree with the new result of the commission, he can appeal it by submitting another application to the main bureau, which sends all documentation to the federal department.
A re-examination is necessary not only to confirm a previously established disability, but also to adjust the rehabilitation program and monitor the dynamics of changes in the patient’s general health.
The frequency of re-examination will differ in one case or another, which is determined depending on the disability group:
If the disability was established for an indefinite period, that is, indefinitely, you can also undergo the re-examination procedure by writing a corresponding application.
Of course, getting a disability group is not so easy, which is confirmed by real life stories:
In septic arthritis, which is caused by infection of the joint by bacteria, viruses, parasites or fungi, disability is established only in the case of severe impairment of the functioning of the affected areas.
Reactive arthritis, which is a consequence of infections outside the joints, can cause disability also in cases of severe damage and severe impairment of their functions. As a rule, when reactive arthritis develops, a person is given temporary disability for the period of treatment.
The gouty form of arthritis develops against the background of an increase in the level of uric acids and their deposition in the joints, tissues, their surroundings, and internal organs. A medical and social examination is carried out if the patient has a pronounced dysfunction of the affected joints. The commission decides which group will be most appropriate in a particular case, taking into account the severity of the violations.
Psoriatic arthritis develops as a result of a skin disease such as psoriasis. Secondary pathology has a chronic course. Treatment is aimed only at relieving symptoms and increasing the stages of remission. Primary signs of psoriatic arthritis are not a reason to refer a person for a medical and social examination. It is prescribed only when a person has lost the ability to independently care and lead a normal lifestyle.
Any joint disease, if not diagnosed in a timely manner and without treatment, can lead to disability. It is for this reason that it is important to consult a doctor at the first warning symptoms.
Rheumatoid arthritis is a very serious disease in which systemic damage to connective tissue occurs. This pathology most often manifests itself in patients who have not yet entered the older age group. Young people are also susceptible to rheumatoid arthritis, which often leaves them unable to work. According to medical statistics, more than 70% of middle-aged and young patients eventually become disabled.
Not every person who has been diagnosed with rheumatoid arthritis can count on receiving a disability group that will guarantee him social support. In order to receive regular assistance from the state, the patient must have documented evidence of a severe form of the disease. If the commission members do not see any reason to assign a disability group for rheumatoid arthritis, then the patient may insist on a re-examination.
Mandatory examination is carried out in the presence of the following indications:
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Members of the commission, before assigning a person a disability group, carefully study his medical certificates and expert opinions. Confirmation of a severe form of rheumatoid arthritis can be the results of laboratory and instrumental studies conducted in public medical institutions. It is mandatory to include x-rays and the results of a clinical and biochemical blood test in the folder with documents intended for the commission.
When making a decision, the commission members pay attention to the functionality of the patient applying for a disability group. This is due to the fact that this indicator will allow one to assess his general condition, ability to care for himself independently, and also to perform professional duties.
Modern medicine classifies the condition of patients with rheumatoid arthritis depending on the severity of the pathology:
Before assigning disability for rheumatoid arthritis, members of the commission conduct discussions for a long time. The following factors may influence their verdict:
Decisive factors that can influence even a preliminary decision may be:
If members of the commission recognize a person diagnosed with a mild form of arthritis as able to work, then he can count on special working conditions. During an exacerbation of the disease, such patients may temporarily lose their ability to work and maintain their status for 1-4 months. If the patient is recognized as disabled, then he is assigned a disability group with the wording (depending on the age at which the person was struck by the disease): “general disease” or “disabled from childhood.”
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Only a specialist can assign disability for arthrosis, and this is done after a thorough examination of the patient. The development of acute joint damage leads to disruption of a person’s motor activity. If there is no effect from conservative therapy and limited mobility of the knee joint, the person becomes unable to work.
The inability to perform the patient’s usual activities leads to a deterioration in the quality of life. Prescribed treatment in advanced stages is accompanied by a lack of positive dynamics. Acute gonarthrosis leads to the appearance of unwanted symptoms and actively destroys the joint. In this case, the person becomes disabled.
Is disability assigned for arthrosis? According to the current legislation of the Russian Federation, people suffering from the second form of the disease and above become disabled and receive a group. This is due to partial or complete loss of motor activity of the knee joint. In some cases, patients with stage 2 disease are included in the exception category.
Involvement of a joint with further limitation of mobility is a good reason for assigning a group. People with pronounced pain syndrome do not belong to this category. If the victim moves on crutches, specialists record the second or third stage of the disease. The first group is possible if the patient undergoes a full medical examination.
Gonarthrosis is a progressive disease, so a person needs to undergo an annual examination. Based on the data received, the group is promoted or demoted. Only structural changes in the structure of the joint are taken into account.
Medical workers are loyal to people who have lost their ability to work due to damage to the ankle cartilage. This fact is confirmed or refuted based on the survey conducted. The damage to the joint is determined by a special medical commission. This procedure is strictly regulated by law. In practice, this indicates the difficulty of obtaining disability. The group is given only after a thorough examination; it is impossible to negotiate or circumvent this procedure. This action is punishable by law.
To register disability for joint damage, you must visit your local doctor. During the examination and history taking, the specialist sends the person for professional consultation. Experienced doctors are able to identify osteoarthritis and its consequences during an examination.
Before a thorough examination, the patient must collect all documents and extracts. In case of osteoarthritis, sick leave is issued; this certificate must be kept. With an extract from the card and issued certificates, the patient is sent for examination. The test checks for knee joint limitations. Based on the results of the analyses, the commission makes a decision.
In practice, achieving disability status is not so easy. With osteorathrosis, disability is confirmed at the third stage of disease development. At earlier stages, the probability of a positive outcome is reduced to zero.
Patients with progressive osteoarthritis are referred for additional X-ray examination. According to visual signs, the degree of damage is determined. People with damage to the ankle joint need to undergo an X-ray examination once a year. This action allows you to monitor the dynamics of the pathology.
People who, after surgical treatment, begin to complain of limited mobility are sent for examination. This is applicable for osteoarthritis, gonarthrosis and arthrosis. A medical and social examination is carried out in the presence of pronounced violations of static-dynamic function, if treatment has not yielded positive results.
The standard research procedure includes:
Social diagnostics includes assessment of the victim’s ability to self-care, movement and ability to work. Based on this data, disability is not granted. This is the initial stage of the study, which involves further laboratory and instrumental procedures. When determining the degree of disability, the psychological state of the patient is also taken into account.
There are three main stages of disability.
Any disease that prevents a person from living and working normally must be diagnosed by medical specialists, and a plan for the treatment and prevention of the disease must be drawn up. If necessary and legally, employees of the ITU bureau can assign a certain disability group based on the results of a medical and social examination. There is a certain list of diseases on the basis of which a person is assigned the status of a disabled person. Gout is included in this list, but having this disease is not enough to qualify for disability. Disability is established not only by one diagnosis, but in the case when a person has at least 2 conditions for its establishment. A special commission examines the provided medical documents and various types of conditions: social, everyday, psychological, labor and professional. All the subtleties and rules for establishing disability are spelled out in Decree of the Government of the Russian Federation No. 95 “On the procedure and conditions for recognizing a person as disabled”, paragraph 5 of February 20, 2006.
With gout, there is an increase in the level of uric acid in the blood and the deposition of monosodium urate in the articular, periarticular tissues, internal organs, with the subsequent development of the inflammatory process. The disease is very insidious and secretive, because it is rare that the disease is detected in the first year of its development; it is usually diagnosed after 6-7 years. In most cases, the disease manifests itself at the age of 40 years and older in males and females, but men are more often affected. Scientists have noticed that this disease most often affects people with high social status and education, so the disease was called the “disease of aristocrats.” The process of damage to joints and organs is similar to the deposition of uric acid salts in the form of small and sharp needles, which over time can destroy cartilage and bones, and if the kidneys are damaged, cause urolithiasis. With gout, a person feels severe pain in the joints of the fingers and toes.
The causes of the disease are divided into two groups: primary and secondary. In primary gout, the cause is a genetic factor of deficiency of an enzyme that helps reduce the amount of uric acid in the blood. This mainly occurs with impaired metabolism, diabetes, obesity, and hypertension. The secondary form is established in case of blood or kidney diseases, heavy physical activity, taking certain drugs in large quantities, etc.
Recognizing the disease will not be difficult, the main thing is that the patient does not neglect treatment, but visits a specialist. Initially, the patient will feel sharp pain in the joints of the hands and feet with noticeable intensity, then redness of the skin and a feeling of heat in the affected joint can be observed. There is painful discomfort and limited range of motion when moving your fingers. Painful symptoms are often observed at night and in the morning, which stop closer to the middle of the day. Without treatment, pain will occur with enviable consistency.
Disability is established in a person when he cannot work and exist independently, without restrictions and obstacles. It is associated not only with physical symptoms, but also with mental, mental and sensory deviations from normal norms. In order to obtain this status, it is necessary to undergo a medical and social examination, which will evaluate all the factors affecting the applicant for disability. Based on the results of the examination, a person is assigned certain benefits, a pension and restrictions in labor relations.
There are 3 types of disability groups, defined by certain characteristics and criteria for health and mental disorders, or acquired as a result of certain diseases or injuries. The first group of disabilities includes people who are unable to take care of themselves in everyday life, move, navigate, communicate, control their actions without additional help, or who are completely dependent on the help of another person. The second disability group is established for people who cannot care for themselves or move without assistance or other people. Such people can work only in specially created conditions; they are not able to undergo training in regular institutions, but can study in special educational centers or at home. Such people communicate and navigate either with the help of other people or with the help of certain devices, and they can control their behavior partially or completely, depending on other people.
The last, third disability group, is assigned to patients who can independently care for themselves, move around (but with more time), study in general institutions, work (with slightly reduced criteria), navigate and communicate, or perform all functions with the help of special means and devices .
You can register a disability by coming for a medical examination and commission, or you can go through it at home if the patient is unable to come. A disability group is established only if there is a confirmed disease included in the list on the basis of which a group can be obtained. But in addition to the above, the presence of two more factors is necessary - a persistent disruption of the functioning of the body, a complete or partial limitation of a person’s life, as well as the need for rehabilitation or social protection of people with disabilities.
If all the conditions are present, you must visit your attending physician, who will refer you to a doctor’s commission. The commission will consider this issue and provide a referral to the ITU Bureau, where a decision will be made on establishing the disability and the group. To visit the ITU office, you must have a passport, a referral from a medical institution in form 188-u and a completed application.
Gout is included in the list of diseases that define disability (clause 1.8.3. Gout. M10 (M10.0-M10.9), M11). Disability group I is established for grade 4 gout development. These are constant manifestations of arthritis with a frequency of 2-3 months, which are accompanied by fever, tophi, severe kidney damage, trembling, etc. In this case, the patient can move and care for himself in the 3rd degree of disability. Disabled people can receive disability group II for exacerbation of arthritis with exacerbations every 3-4 months, with diseases of 2-3 joints, kidney damage, small tophi in the joints. In this case, a person must have 2 degrees of self-care and movement, 2-3 degrees of ability to carry out work activities. Disability group III is established for people with the manifestation of arthritis at intervals of 1-2 times a year, with diseases of 1-2 joints, the initial stage of kidney damage and 1 degree of limitation in self-care, movement and the ability to carry out work activities.