Do they give disability in bronchial asthma and what is needed for its registration

Bronchial asthma is one of the most common ailments. Globally, it affects approximately 10% of people.

The disease is characterized by such manifestations as respiratory failure and cough syndrome, for this reason, it is strictly forbidden to work in harmful conditions. Many people are interested in whether disability is given in bronchial asthma, and what is required to assign a group.

Asthma and disability

You can get a disability group, but it is worth considering that it is assigned depending on the degree of disorders that have developed in the patient’s body since the time the disease was detected.

If minimal changes are detected, the patient is refused.

The medical board, as a rule, pays attention to the following points:

• the frequency and duration of asthma attacks;
• the effect of the disease on the function of the heart and lungs;
• the severity of the disease;
• whether the patient is addicted to hormonal medications.

Before getting a disability in bronchial asthma, a person will have to prove that the disease has been diagnosed correctly, and also undergo an examination to establish the stage of the disease. A child, for example, is sent for a medical examination only 6 months after the diagnosis of this disease.

Disability criteria

Although the ailment is serious, according to MSEC specialists, it is quite possible to live and work with it fully. In itself, this disease is not a reason for assigning a disability. A person diagnosed with asthma is not always fully or partially disabled. This is due to several reasons:

• the development of bronchial asthma occurs at a slow pace;
• during the diagnosis of the disease, the well-being of an adult or a child is quite satisfactory. A suffocation attack occurs in rare cases, and it can be easily stopped;
• there is no pronounced respiratory or cardiovascular insufficiency;
• the patient has been able to lead a fairly active life, study or work for many years;
• the development of the disease turns out to be suspended.

With the right lifestyle, diet, rest in sanatoriums, as well as the use of medicines, the progression of the disease can be prevented, and the state of health will not worsen.

Before you start applying for asthma disability in adults, you need to consult your doctor. Moreover, even if there are doubts, he still must send you to the passage of the medical and social expert commission (MSEC).

How to define a disability group in asthma

Asthma disability is prescribed only if there is a persistent, long-term severe or moderate disorder in the functioning of the respiratory organs, due to which the patient’s life is greatly impaired.

The presence of asthma attacks, which are relieved by the patient with the help of basic medicines prescribed by the doctor, does not constitute a reason for assigning disability. Consider how the disability group is determined in asthma.

First group

The first group of disability in bronchial asthma is given to patients with a severe persistent form of the disease. At the same time, it is noted:

• asthmatic status, daily attacks of suffocation at any time of the day;
• the occurrence of severe and moderate exacerbations, which are removed in the hospital, more often 5 times a year;
• FEV-1 (PSV) is below 60%, differences in indicators are more than 30%;
• every day requires the use of corticosteroids, the daily dosage exceeds 1000 mcg (sometimes in combination with glucocorticosteroid drugs);
• dependence on systemic GCS. Respiratory function may deteriorate due to reduced dosage;
• dyspnea on the MRC scale of grade 2 (respiratory failure 2). Appears even at rest with a respiration rate of 25-30 times per minute. Or grade 3 (respiratory failure 3) – the presence of severe shortness of breath with a frequency of more than 30 times within a minute, even while sitting, leaning forward and with an emphasis on hands;
• X-ray shows bronchial obstruction. The formation of respiratory and heart failure is observed.

There is a restriction of life activity in relation to movement, self-service – 2 stages, working capacity – 2 or 3 stages. It is possible to control this type of ailment partially or not at all.

For recurrent extremely severe asthma, the following features are characteristic:

• systematic acute attacks of suffocation at any time of the day. It is impossible to control the disease;
• to stop the attack, you have to inject a large dose of medicine. The daily dosage of inhaled corticosteroids is more than 1000 mcg;
• the dose of glucocorticosteroid drugs is more than 20 μg;
• the indicator on the dyspnea scale is 3-4 degrees. There is no opportunity to endure even the smallest physical and emotional stress;
• DHNZ;
• the formation of pulmonary and extrapulmonary complications. Shortness of breath in a calm state;
• limitation on self-service and work – 3-4 degrees.

Persistent severe bronchial asthma cannot be controlled. Against its background , respiratory and heart failure of 2-3 degrees develops.

Second group

The second group of disability is determined with persistent bronchial asthma of moderate severity, which is characterized by the presence of such signs:

• during the day, the occurrence of attacks of suffocation is observed more than 3 times during the week or every day, and at night – more than 1 time during the week;
• the development of an exacerbation is observed a maximum of 5 times throughout the year, the attacks are removed by means of glucocorticosteroid drugs;
• daily dosage of glucocorticosteroid inhalation agent maximum 1000 mcg;
• short-term 2-agonists are prescribed for everyday use;
• FEV-1 (PSV) ranges from 80-60%. The difference in the FEV-1 indicators is more than 30%;
• there is a possibility of insensitivity to 2-agonists, therefore, an increase in PSV is observed during testing. After physical exertion, there is a decrease in the expiratory power (up to 20%);
• respiratory failure of the first degree is characterized by shortness of breath with a respiratory rate of 20-25 times per minute, which increases after minimal physical exertion;

Experts establish violations of respiratory function and limitation of motor activity and working capacity of 2-3 degrees. This form of the disease can be partially controlled.

Third group

Patients with bronchial asthma are given disability of the third group, if the functionality of the respiratory system is slightly impaired.

For intermittent asthma tend to have the following characteristics:

• the frequency of asthma attacks in the daytime – no more than once every 7 days, at night – no more than 2 times every 30 days;
• the development of a short-term exacerbation is observed at most once every 12 months;
• there is no need to use glucocorticosteroid drugs.

For persistent asthma characteristic of the presence of symptoms:

• suffocation attacks during the day, maximum twice a day, no more than 1-2 episodes throughout the week, and at night more than 2 short-term cases in 30 days;
• the development of an exacerbation is observed 1-2 times during the year;
• seizures are relieved with inhalation aerosol;
• indicators of respiratory failure: the level of FEV-1 (or PSV) more than 80%. FEV-1 change during the day is less than 20-30%;
• when conducting a test with salbutamol , an increase in FEV-1 is observed by more than 20%. In the PSV test using 2-agonists, an increase of more than 15% is observed.

In the process of X-ray examination, the obstruction is not detected. This form of the disease is well controlled and amenable to therapy.

When determining the level of disability, any serious change in well-being for the worse must be documented.

Respiratory disorders and a deterioration in the quality of life are determined by the presence of serious exacerbations (status asthmaticus), which are relieved only with the help of medical professionals.

How to get disability with bronchial asthma

Let’s discuss which disability group is assigned to a person with asthma. The definition of disability is due to how the disease proceeds, and certain indicators, the decision is made by an expert commission. With a similar ailment, both the third or second, and the first group are assigned .

In each case, based on the course of the disease, an appropriate disability group is assigned, regardless of the patient’s gender and age. With appropriate symptoms, both an adult and a child are given the same disability group.

Disability of the first group

This group of disability is defined in severe bronchial asthma, when special medications and hormonal agents do not bring an effect, and the disease continues to progress. Such a course of the disease is a good reason for registering a disability. MSEC focuses on the following points:

1. The patient’s health continues to change for the worse despite the treatment.
2. There is significant difficulty in breathing during movement and in a calm state. Fixed shortness of breath.
3. There are heart disorders.
4. Complications from other organs and systems of the body are recorded.
5. The person is absolutely disabled.
6. Due to the inability to move independently, the patient needs outside help all the time.

Disability of the second group

This group of disability in asthma is assigned at 2-3 degrees of severity of the disease. In this case, the commission pays attention to the following nuances:

1. The functions of the respiratory organs are significantly impaired even with the least physical stress.
2. Cardiac disorders develop.
3. Peripheral circulation disorders are observed.
4. The risk of developing diabetes is increased due to exposure to hormonal drugs.
5. There is a sharp limitation of the ability to self-service.
6. The patient cannot fully work.
7. The patient needs special conditions for work.

Disability of the third group

Patients with asthma are given a disability of the third group if the ailment is mild to moderate. In this case, ITU specialists are interested in the following features of the disease:

1. At the slightest physical exertion, respiratory failure occurs.
2. A person cannot cope with the usual work.
3. There are some restrictions on self-travel and self-service.
4. There is a need to change the place of work or type of work activity.

When the period of validity of the disability expires, the patient should undergo a second medical and social expert commission in order to receive confirmation of his group.

With a significant improvement in the patient’s health status and the transition of the disease to a milder degree, the group can be revised or completely removed from disability.

Consider how to get a disability for a person with asthma. To find out how to register a disability with asthma, you need to see a doctor. The patient can submit documents for recognition of incapacity for work on his own, or it is done by an official who represents him.

The attending physician does not prescribe disability. To make a decision on the assignment of a disability group, you must contact a group of experts of the medical and social expert commission.

The passage of the commission is prescribed if the patient has signs of persistent respiratory disorders with the development of an attack of moderate or moderate severity. These include:

• frequent acute attacks at night – up to 3 times a week, in the daytime – more than 4 times a month;
• dependence on taking hormonal drugs;
• short-term remission (less than 3 months) without seizures;
• bronchial patency is less than 80-60%, and lability is 20-30%;
• the hyperreactivity of the bronchial system is not reduced by doses of an inhalation agent, in order to stop an attack, the help of doctors is needed;
• due to respiratory failure, it is impossible to work fully (and in childhood, be in kindergarten, school);
• moderately severe uncontrollable or partially controlled bronchial asthma diagnosed more than 6 months before the commission.

What is needed for registration

In order to be issued a disability group for bronchial asthma, it is necessary:

1. Visit the attending doctor to obtain a certificate of the ailment in order to undergo MSEC and determine whether disability is appropriate for this ailment.
2. Pass the medical commission at the place of registration. In addition, an important requirement is filling out the documentation in accordance with a special form.
3. When the medical commission is passed, the attending physician issues a referral for an expert assessment.
4. The patient signs up for examination. For the examination, you will need a referral, a passport, medical insurance and a certificate from the medical commission. A referral to a medical board is issued by a pulmonologist.

If the patient is being treated in a hospital, then all the necessary examinations and studies of respiratory functions are carried out in a hospital setting.

When collecting documents during outpatient treatment, the patient should be examined by an otolaryngologist, neurologist, surgeon, cardiologist and endocrinologist to identify possible changes in the functioning of the body.

In addition, during the medical examination, the patient must:

• pass a general analysis of urine, sputum and blood;
• donate blood and sputum for biochemical examination;
• undergo an x-ray examination of the chest cavity organs;
• make an ECG;
• undergo peak flowmetry , spirography;
• do an allergen test;
• undergo other examinations ( doppler echocardiography , pulmonary artery rheography, etc.), if necessary.

The results obtained should be recorded in the patient’s outpatient card. The doctor draws up a certificate and a referral to MSEC. If the doctor thinks that the patient is not entitled to disability, and the disease is perfectly controllable, he should still refer the patient to the MSU marked “according to the patient’s individual request”.

When a disability is registered, an asthmatic person gets the right to use the following privileges:

• receiving medicines free of charge or with a 50% discount;
• preferential sanatorium treatment;
• preferential mortgage, waiting list for an apartment;
• working conditions for people with asthma are improved;
• there is the possibility of receiving a free voucher for treatment annually.

Disability with bronchial asthma in a child

Consider how to get a disability if a child is diagnosed with asthma. Children with asthma disability are assigned if:

1. Due to illness, the child is not able to fully learn.
2. The kid is limited in self-service or free movement.
3. There are violations of blood circulation, the work of the endocrine or respiratory system.
4. The development of irreversible complications is diagnosed, seizures occur quite often.
5. The child needs improved living, learning and outside help.

The medical commission draws attention to the following points:

• the frequency of asthma attacks in a baby during the day and at night per day and week;
• daily dose of medicines;
• changes in the child’s activity during the day, whether he sleeps peacefully at night;
• the presence of respiratory disorders before the diagnosis of the disease and after that.

If a child is diagnosed with a disease, this does not mean that there is no need to define a disability group. Even if the child is not working, he needs treatment, and he also needs to receive benefits and benefit from benefits.

For the appointment of disability in the presence of asthma in children, it is also initially necessary to consult a doctor. Otherwise, the actions are the same as for adults, the only difference is that the child needs the accompaniment of an official representative.

To issue a disability for a child, ITU is required to provide the following documentation:

• birth certificate;
• outpatient card for a child;
• referral from the pediatrician;
• medical insurance;
• an application for disability, which is completed by one of the parents or another representative of the baby.

Even if the doctor does not consider that it is necessary to send a child with asthma to the registration of a disability group, he should do it. In such a case, the reasons should indicate: “in accordance with the wishes of the child’s guardian”.

An asthmatic child may also benefit from certain benefits. Among them:

• free use of public transport vehicles;
• before the age of 15, dairy products and medications are issued free of charge;
• Parents are entitled to several extra days off and are also relieved of overtime, night work and business travel;
• an asthmatic mother is entitled to benefits in the form of retirement before reaching the established age.

Finally

A person with asthma is not always assigned a disability group, but there is a possibility of getting it, this chance should not be ignored.

Answering the question whether a person is given disability when bronchial asthma is diagnosed, it should be said that there is such an opportunity. It may not be easy, but it is possible to get a group, as an asthmatic person is entitled to some benefits.